Stephen T Liesen is a Dentist in Barry, Illinois. Stephen T Liesen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen T Liesen is 1124009329. The last update date is 2012-10-08.
Stephen T Liesen's current location address is 750 Mortimer St, Barry, Illinois. You can contact this provider via phone number 2173352397 and fax number 2173352398. The mailing address for Stephen T Liesen is 750 Mortimer St, Barry, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen T Liesen |
|---|---|
| Address | 750 Mortimer St, Barry, Illinois |
| Phone Number | 2173352397 |
| Fax Number | 2173352398 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1124009329 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2012-10-08 |
Provider Mailing Address Detail
| Address | 750 Mortimer St |
|---|---|
| City | Barry |
| State | Illinois (IL) |
| Post Code | 623121247 |
| Phone Number | 2173352397 |
| Fax Number | 2173352398 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19021224 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Stephen T Liesen by the Centers for Medicare & Medicaid Services?
The Stephen T Liesen has been assigned the NPI (National Provider Identifier) 1124009329 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Stephen T Liesen's facilities are situated?
The facilities of Stephen T Liesen are physically located at the following address: 750 Mortimer St, Barry, IL, 623121247.
What is Stephen T Liesen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stephen T Liesen is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124009329 to Stephen T Liesen?
The Centers for Medicare & Medicaid Services assigned the 1124009329 to Stephen T Liesen on 2005-11-07.
When was the information regarding Stephen T Liesen most recently updated?
The details pertaining to the Stephen T Liesen, including its address, specialty, and other relevant information, were last refreshed on 2012-10-08.
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