Stephen T Liesen Dmd Llc

LBN: Barry Dental Clinic
Stephen T Liesen Dmd Llc is an health care organization with primary practice located at 750 Mortimer St , Barry IL 62312-1247. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Barry Dental Clinic can be contacted via phone (217) 335-2397, or through Liesen, Stephen T via phone (217) 335-2397.

Contact Information

Primary practice address
750 Mortimer St Barry IL 62312-1247
Phone: (217) 335-2397
Fax: (217) 335-2398
Website:
Map and Directions
Authorized official contact:
Name: Liesen, Stephen T Doctor of Dental Medicine (DMD)
Phone: (217) 335-2397

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019021224 Illinois

Profile Details

NPI number 1174794028
LBN Legal business name Barry Dental Clinic
DBA Doing business as Stephen T Liesen Dmd Llc
Authorized official Liesen, Stephen T Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated Oct 22nd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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