| Dr Matthew Liesen, DMD | |
|
4517 N Rockwood Dr, Peoria, IL 61615-3841 | |
| (309) 688-0121 | |
| (309) 688-5643 |
| Full Name | Dr Matthew Liesen |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 4517 N Rockwood Dr, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619350725 | NPI | - | NPPES |
| 1851909345 | Other | IL | PEORIA DENTAL CARE, LLC. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 019.030226 (Illinois) | Secondary |
| 1223G0001X | Dentist - General Practice | 019030226 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Liesen, DMD 4517 N Rockwood Dr, Peoria, IL 61615-3841 Ph: (309) 688-0121 | Dr Matthew Liesen, DMD 4517 N Rockwood Dr, Peoria, IL 61615-3841 Ph: (309) 688-0121 |
Megan Boyd, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1424 W Glen Ave Ste A, Peoria, IL 61614 Phone: 309-691-8033 | |
Joseph Nicholas Taylor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7310 N Villa Lake Dr Ste B, Peoria, IL 61614 Phone: 309-691-9072 Fax: 309-691-9432 | |
Thien An Vu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 320 E Armstrong Ave, Peoria, IL 61603 Phone: 714-548-9743 | |
Dr. Kathy Arkwell, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2425 W Cornerstone Ct, Peoria, IL 61614 Phone: 309-692-3000 Fax: 309-692-4477 | |
Michael Momchev, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6712 N Mountello Dr, Peoria, IL 61614 Phone: 309-691-7855 | |
Dr. James R. Frost, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2001 W Willow Knolls Dr, Suite #204, Peoria, IL 61614 Phone: 309-692-8118 Fax: 309-692-6655 | |
Dr. Lori Anne Pollard Rice, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 838 W Glen Ave, Peoria, IL 61614 Phone: 309-691-1990 Fax: 309-691-9112 |