Dr. Lawrence Elliott Liston
D.D.S | Dentist
2103 E Washington St Ste 2d, Bloomington
Illinois, 61701-4365
309-663-5582 309-663-4683
Maps & DirectionsDr. Lawrence Elliott Liston is a Bloomington, Illinois based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Lawrence Elliott Liston is
019019178 for Dentistry in Illinois. His current practice location is
2103 E Washington St Ste 2d, Bloomington. Patients can reach him at
309-663-5582.
Dr. Lawrence Elliott Liston is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Lawrence Elliott Liston speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Lawrence Elliott Liston |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2103 E Washington St Ste 2d, Bloomington, Illinois, 61701-4365 |
| Phone: | 309-663-5582 |
| Fax: | 309-663-4683 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1568616886 |
| NPI Enumeration Date: | 13 Nov, 2008 |
| NPI Last Update On: | 13 Nov, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lawrence Elliott Liston are as mentioned below.
| License Number | Specialization | State | Status | |
| 019019178 | Dentistry | Illinois | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2103 E Washington St Ste 2d, Bloomington, Illinois |
| Zip: | 61701-4365 |
| Phone Number: | 309-663-5582 |
| Fax Number: | 309-663-4683 |
Patients can reach Dr. Lawrence Elliott Liston at
2103 E Washington St Ste 2d, Bloomington, Illinois or can
call to book an appointment on 309-663-5582.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.