Barry Dental Clinic

NPI #1174794028 in Barry, Illinois

Provider Information

NPI Number: 1174794028
Entity Type: Organization
Organization Name: Barry Dental Clinic
Primary Specialty: Dentist
Enumeration Date: Mar 19, 2008
Last Updated: Oct 22, 2012

Practice Location

Address: 750 MORTIMER ST
City: Barry
State: Illinois
ZIP Code: 62312-1247
Phone: (217) 335-2397

Authorized Official

Name: DR. STEPHEN T LIESEN, DMD
Title: DENTIST/OWNER
Phone: (217) 335-2397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Provider Name	Specialty	City
DR. Stephen T Liesen, DMD	Dentist	Barry	AI Deep Dive
Brett R Schafer, DMD	Dentist	Barry	AI Deep Dive
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Lockport Dental Group, Ltd	Dentist	Lockport	AI Deep Dive

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