OrganizationActive
Matthew Liesen, DMD PLLC
NPI 1134790454 · General Practice Dentistry · Collinsville, IL
Matthew Liesen, DMD PLLC is a General Practice Dentistry organization in Collinsville, IL (NPI 1134790454).
Provider details
- NPI number
- 1134790454
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Liesen, Owner/General Dentist(217) 248-4561
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3 Collinsport Dr
Collinsville, IL 62234-6104
Phone: (618) 344-6459
Street-level locationGet directions
Mailing address
3 Collinsport Dr
Collinsville, IL 62234-6104
Other names (DBA / former)
- Doing business as
- Liesen Family Dental
- Doing business as
- Ronald Zambaldi, DMD
Registry dates
- Enumerated
- 2021-07-07
- Last updated
- 2021-07-07
- Certified
- 2021-07-07
Frequently asked questions
- What is Matthew Liesen, DMD PLLC's NPI number?
- Matthew Liesen, DMD PLLC's National Provider Identifier (NPI) is 1134790454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Matthew Liesen, DMD PLLC?
- Matthew Liesen, DMD PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Matthew Liesen, DMD PLLC located?
- Matthew Liesen, DMD PLLC's practice location on file with NPPES is 3 Collinsport Dr, Collinsville, IL 62234-6104.
- What is Matthew Liesen, DMD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Matthew Liesen, DMD PLLC is (618) 344-6459.
- Who is the authorized official for Matthew Liesen, DMD PLLC?
- The authorized official listed on Matthew Liesen, DMD PLLC's NPPES record is Matthew Liesen, Owner/General Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Matthew Liesen, DMD PLLC's NPI active?
- Yes — Matthew Liesen, DMD PLLC's NPI (1134790454) is active in the NPPES registry as of the last update on 2021-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.