Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW LIESEN, DMD
ActiveDR. MATTHEW LIESEN, DMD is a General Dentistry healthcare provider located in PEORIA, Illinois. NPI 1619350725 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PEORIA, IL
Registration Details
- NPI Number
- 1619350725
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2015 (11.14841532212 yrs)
- Last Updated
- Jul 7, 2021
- Licenses
-
019.030226 (IL)019030226 (IL)
Practice Information
- Address
-
4517 N ROCKWOOD DRPEORIA, IL, 616153841Browse IL providers · Browse ZIP 61615
- Phone
- 3096880121
- Fax
- 3096885643
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES A MEAGHER | D.D.S | 1174545974 |
| DR. THOMAS R BOYD | DDS | 1871516419 |
| DR. GARY R. STAMM | D.D.S. | 1710901020 |
| DR. JOHN ROBERT SPIGELMYER | D.D.S. | 1366452104 |
| GLEN D. THOMPSON | DMD | 1417967936 |
| DR. THOMAS CHARLES FERLMANN | D.M.D. | 1396858130 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.