DR. CHRISTINE A LIESEN DDS
NPI 1104964998
Dentist in Woodruff, WI

Active since February 02, 2007PECOS Enrolled
1105 4TH AVE, WOODRUFF, WI 54568(715) 356-3474(715) 358-5145 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Christine A Liesen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHRISTINE A LIESEN DDS (NPI 1104964998) is an individual dentist in Woodruff, Wisconsin, licensed in Wisconsin (3843) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104964998
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. CHRISTINE A LIESENCredential: DDS
Location Address1105 4TH AVEWoodruff, WI 54568
Mailing AddressPo Box 260Woodruff, WI 54568-0260 · (715) 356-3474 · Fax (715) 358-5145
Fax(715) 358-5145
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104964998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WI · 3843
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1105 4TH AVE, Woodruff, WI 54568

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Christine A Liesen Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54568 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1105 4TH AVE
WOODRUFF, WI 54568

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Liesen's NPI number?

The NPI number for Christine Liesen is 1104964998. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Christine Liesen located?

Christine Liesen practices at 1105 4th Ave, Woodruff, WI 54568. The listed phone number is (715) 356-3474.

What is Christine Liesen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Christine Liesen enrolled in Medicare?

Yes. Christine Liesen is registered in the Medicare PECOS enrollment system.

What insurance does Christine Liesen accept?

Health plans from Delta Dental of Wisconsin, Inc. and Security Health Plan list Christine Liesen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Christine Liesen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.