Dr Stephen T Liesen, DMD is a
Dentist based in Barry, Illinois. Dr Stephen T Liesen is licensed to practice in Illinois (license number 19021224) and his current practice location is
750 Mortimer St, Barry, Illinois. He can be reached at his office (for appointments etc.) via phone at
(217) 335-2397.
NPI number for Dr Stephen T Liesen is 1124009329 and his current mailing address is 750 Mortimer St, Barry, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124009329.
Healthcare Provider's Profile
Full Name | Dr Stephen T Liesen |
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Gender | Male |
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Speciality | Dentist |
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Location | 750 Mortimer St, Barry, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124009329
- Provider Enumeration Date: 11/07/2005
- Last Update Date: 10/08/2012
Medical Identifiers
Medical identifiers for Dr Stephen T Liesen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124009329 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 19021224 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephen T Liesen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Stephen T Liesen, DMD 750 Mortimer St, Barry, IL 62312-1247 Ph: (217) 335-2397 | Dr Stephen T Liesen, DMD 750 Mortimer St, Barry, IL 62312-1247 Ph: (217) 335-2397 |
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