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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW LIESEN, DMD PLLC

Active Organization

MATTHEW LIESEN, DMD PLLC is a General Dentistry organization located in COLLINSVILLE, Illinois. NPI 1134790454 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · COLLINSVILLE, IL

Registration Details

NPI Number
1134790454
Provider Type
Organization
NPI Issued
Jul 7, 2021 (5.1179997943023 yrs)
Last Updated
Jul 7, 2021

Practice Information

Address
3 COLLINSPORT DR
COLLINSVILLE, IL, 622346104
Browse IL providers · Browse ZIP 62234
Phone
6183446459
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in COLLINSVILLE, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.