OrganizationActive
Liberty Dental, Inc
NPI 1649516295 · General Practice Dentistry · Havana, IL
Liberty Dental, Inc is a General Practice Dentistry organization in Havana, IL (NPI 1649516295).
Provider details
- NPI number
- 1649516295
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Aaron Blakely, President(309) 543-6301
- License
- 019024184 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
112 W Adams St
Havana, IL 62644-1337
Phone: (309) 543-6301
Fax: (309) 543-4958
Street-level locationGet directions
Mailing address
112 W Adams St
Havana, IL 62644-1337
Registry dates
- Enumerated
- 2012-12-28
- Last updated
- 2012-12-28
Frequently asked questions
- What is Liberty Dental, Inc's NPI number?
- Liberty Dental, Inc's National Provider Identifier (NPI) is 1649516295, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Dental, Inc?
- Liberty Dental, Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Liberty Dental, Inc located?
- Liberty Dental, Inc's practice location on file with NPPES is 112 W Adams St, Havana, IL 62644-1337.
- What is Liberty Dental, Inc's phone number?
- The practice phone number listed in the NPPES registry for Liberty Dental, Inc is (309) 543-6301.
- Who is the authorized official for Liberty Dental, Inc?
- The authorized official listed on Liberty Dental, Inc's NPPES record is Aaron Blakely, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Dental, Inc's NPI active?
- Yes — Liberty Dental, Inc's NPI (1649516295) is active in the NPPES registry as of the last update on 2012-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.