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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADFORD B. LILES, DMD, PC

Active Organization

BRADFORD B. LILES, DMD, PC is a General Dentistry organization located in THEODORE, Alabama. NPI 1649670936 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · THEODORE, AL

Registration Details

NPI Number
1649670936
Provider Type
Organization
NPI Issued
Aug 25, 2014 (11.987125158998 yrs)
Last Updated
Aug 25, 2014
License
5762 (AL)

Practice Information

Address
5721 HIGHWAY 90 STE A
THEODORE, AL, 365823601
Browse AL providers · Browse ZIP 36582
Phone
2516531300
Fax
2516531242
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.