LIBERTY DENTAL, INC
NPI 1649516295
Dentist - General Practice in Havana, IL

Q: What is Liberty Dental, Inc's NPI number?

The NPI number for Liberty Dental, Inc is 1649516295. It was assigned to this organization in the NPPES registry on December 28, 2012.

Q: What is Liberty Dental, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since December 28, 2012

112 W ADAMS ST, HAVANA, IL 62644(309) 543-6301(309) 543-4958 Get Directions Write a Review

NPPES record last updated: December 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Liberty Dental, Inc NPPES

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

LIBERTY DENTAL, INC (NPI 1649516295) is a healthcare organization registered as a general practice in Havana, Illinois and active in the NPI registry since December 2012. The organization lists Aaron James Blakely, President, as its authorized official.

NPPES Registry Identity

NPI1649516295

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLIBERTY DENTAL, INC

Location Address112 W ADAMS STHavana, IL 62644-1337

Mailing Address112 W Adams StHavana, IL 62644-1337 · (309) 543-6301 · Fax (309) 543-4958

Phone(309) 543-6301

Fax(309) 543-4958

Organization SubpartNo

Authorized OfficialAaron James BlakelyPresident · (309) 543-6301

Enumeration DateDecember 28, 2012

✔ NPI 1649516295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019024184

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

112 W ADAMS ST, Havana, IL 62644

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. AARON JAMES BLAKELY D.M.D.

Dentist (General Practice)

112 W ADAMS ST
HAVANA, IL 62644

Mason County (309) 543-6301

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 Liberty Dental, Inc's NPI number?

The NPI number for Liberty Dental, Inc is 1649516295. It was assigned to this organization in the NPPES registry on December 28, 2012.

Where is Liberty Dental, Inc located?

Liberty Dental, Inc is located at 112 W Adams St, Havana, IL 62644. The listed phone number is (309) 543-6301.

What is Liberty Dental, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Liberty Dental, Inc was last updated on December 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.