OrganizationActive
Barry Dental Clinic
NPI 1174794028 · Dentist · Barry, IL
Barry Dental Clinic is a Dentist organization in Barry, IL (NPI 1174794028).
Provider details
- NPI number
- 1174794028
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Stephen Liesen, Dentist/Owner(217) 335-2397
- License
- 019021224 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
750 Mortimer St
Barry, IL 62312-1247
Phone: (217) 335-2397
Fax: (217) 335-2398
Street-level locationGet directions
Mailing address
750 Mortimer St
Barry, IL 62312-1247
Other names (DBA / former)
- Doing business as
- Stephen T Liesen DMD LLC
Registry dates
- Enumerated
- 2008-03-19
- Last updated
- 2012-10-22
Frequently asked questions
- What is Barry Dental Clinic's NPI number?
- Barry Dental Clinic's National Provider Identifier (NPI) is 1174794028, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Barry Dental Clinic?
- Barry Dental Clinic is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Barry Dental Clinic located?
- Barry Dental Clinic's practice location on file with NPPES is 750 Mortimer St, Barry, IL 62312-1247.
- What is Barry Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for Barry Dental Clinic is (217) 335-2397.
- Who is the authorized official for Barry Dental Clinic?
- The authorized official listed on Barry Dental Clinic's NPPES record is Stephen Liesen, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Barry Dental Clinic's NPI active?
- Yes — Barry Dental Clinic's NPI (1174794028) is active in the NPPES registry as of the last update on 2012-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.