Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Liberty Dental, Inc

Organization General Practice Dentistry · NPI 1649516295

Liberty Dental, Inc provides General Practice Dentistry in Havana, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 W Adams St
Havana, IL 62644-1337 Not confirmed with CMS for 13 years — call before visiting
Phone: (309) 543-6301
Fax: (309) 543-4958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019024184 (IL)

Record details

NPI number1649516295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Blakely — President · (309) 543-6301
NPI enumeratedDecember 28, 2012
Last updated in NPPESDecember 28, 2012
Mailing address112 W Adams St, Havana, IL 62644-1337

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