DR. MARY ELIZABETH DI LISIO DMD
NPI 1710504097
Dentist in Edwardsville, IL

Q: What is Mary Di Lisio's NPI number?

The NPI number for Mary Di Lisio is 1710504097. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Q: What is Mary Di Lisio's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Di Lisio was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 02, 2020

618 SAINT LOUIS ST, EDWARDSVILLE, IL 62025(618) 656-7111 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mary Elizabeth Di Lisio Dmd NPPES

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

DR. MARY ELIZABETH DI LISIO DMD (NPI 1710504097) is an individual dentist in Edwardsville, Illinois, licensed in Illinois (019032708) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1710504097

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. MARY ELIZABETH DI LISIOCredential: DMD

Location Address618 SAINT LOUIS STEdwardsville, IL 62025-1504

Mailing Address618 Saint Louis StEdwardsville, IL 62025-1504

Phone(618) 656-7111

Sole ProprietorNo

Enumeration DateJuly 2, 2020

NPPES CertifiedJuly 2, 2020

✔ NPI 1710504097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019032708

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.

618 SAINT LOUIS ST, Edwardsville, IL 62025

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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. REBECCA LYNN DUNN D.M.D.

Dentist

618 SAINT LOUIS ST
EDWARDSVILLE, IL 62025

Madison County (618) 692-6414

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 Mary Di Lisio's NPI number?

The NPI number for Mary Di Lisio is 1710504097. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Where is Mary Di Lisio located?

Mary Di Lisio practices at 618 Saint Louis St, Edwardsville, IL 62025. The listed phone number is (618) 656-7111.

What is Mary Di Lisio's specialty?

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

What insurance does Mary Di Lisio accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana and 1 other insurer list Mary Di Lisio 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 Mary Di Lisio was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.