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Dr. Matthew Liesen, DMD
General Practice Dentistry in Peoria, Illinois
NPI 1619350725

Matthew Liesen is a General Practice Dentistry based in Peoria, IL and is specialized in General Practice. Matthew Liesen practices in Peoria, IL and has the professional credentials of DMD. The NPI Number for Matthew Liesen is 1619350725 and holds a License No. 019.030226 (Illinois).

The current practice location address for Matthew Liesen is 4517 N Rockwood Dr, Peoria, IL and can be reached out via phone at 309-688-0121 and via fax at 309-688-5643.

Location: 4517 N Rockwood Dr, Peoria, IL, 61615-3841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619350725
Provider Name
Matthew Liesen
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4517 N Rockwood Dr, Peoria, IL, 61615-3841
Phone Number
309-688-0121
Fax Number
309-688-5643
Provider Enumeration Date
07/07/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851909345 01 IL PEORIA DENTAL CARE, LLC.
institution
Provider Business Practice Location Address Details
Address
4517 N Rockwood Dr
City
Peoria
State
Illinois
Zip
61615-3841
Phone Number
309-688-0121
Fax Number
309-688-5643
person
Provider Business Mailing Address Details
Address
4517 N Rockwood Dr
City
Peoria
State
Illinois
Zip
61615-3841
Phone Number
309-688-0121
Fax Number
309-688-5643
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dental Public Health
Taxonomy
1223D0001X
License No.
019030226 (Illinois)
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.030226 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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