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 is a 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
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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