Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568616886 Individual Practitioner Male Practitioner

Dr. Lawrence Elliott Liston , DDS

Dentist • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Dr. Lawrence Liston, DDS is a registered healthcare professional specializing in Dentist in Bloomington, IL. Practice services are available at 2103 E WASHINGTON ST STE 2D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2103 E Washington St Ste 2d

Bloomington, IL 617014365

Telephone 3096635582
Fax 3096634683

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
43 Specialists

Practicing in Bloomington, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019019178

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1083381495
Julia Nelson White , LCPC, CRC

Counselor - Mental Health

NPI 1336763242

Licensed Clinical Professional Counselor, Certified Rehabilitation Counselor

Karen Swineford

Counselor - Mental Health

NPI 1821640160
Abby Taplin , MA

Counselor - Mental Health

NPI 1861779605

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 13, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2008

Registered at 2103 E WASHINGTON ST STE 2D, BLOOMINGTON, IL 617014365 (Tel: 3096635582)

📍
Updated Business Mailing Address November 13, 2008

Registered at 2103 E WASHINGTON ST STE 2D, BLOOMINGTON, IL 617014365 (Tel: 3096635582)

👤
Provider Name / Credentials Updated November 13, 2008

Recorded as LAWRENCE LISTON, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2008

Dentist (License #019019178 in IL)

🟢
Initial NPI Registration & Enumeration November 13, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568616886
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2008
Last Update: November 13, 2008
Sole Proprietor: Yes

Mailing Address

2103 E Washington St Ste 2d

Bloomington, IL 617014365

Phone: 3096635582

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.