Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADFORD BOWEN LILES, DMD
Active Sole ProprietorDR. BRADFORD BOWEN LILES, DMD is a General Dentistry healthcare provider located in THEODORE, Alabama. NPI 1447570825 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · THEODORE, AL
Registration Details
- NPI Number
- 1447570825
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2010 (16.200154378275 yrs)
- Last Updated
- Aug 25, 2014
- License
-
5762 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5721 HIGHWAY 90 STE ATHEODORE, AL, 365823601Browse AL providers · Browse ZIP 36582
- Phone
- 2516531300
- Fax
- 2516531300
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in THEODORE, AL
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH ANTHONY TOMBRELLO | D.M.D. | 1972514628 |
| DR. MEGAN KARST JACKSON | DMD | 1346973310 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.