George B Liles, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5561 Issued in AL

Practice address

1204 Ogletree Village LN
Auburn, AL 36830-2960

Phone

(334) 887-0099

Fax

(334) 209-2067

NPI assigned

Oct 3, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: george.liles@direct.baptistfirst.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liles Pediatric Dentistry

  • Pediatric Dentistry
  • Auburn, AL
  • NPI 1669793246
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1114115169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 OGLETREE VILLAGE LN",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302960",
            "telephone_number": "334-887-0099",
            "fax_number": "334-209-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 OGLETREE VILLAGE LN",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302960",
            "telephone_number": "334-887-0099",
            "fax_number": "334-209-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "GEORGE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128489",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Liepins
• Ligare, LLC
• Alyssa Lightsey
• Liles Family Dentistry, LLC
• Liles Pediatric Dentistry
• Kristie Allison Lin
• Jena Lindsay
• Christine M Lindsey, PHARM D
• Wesley Lindsey
• Nicole Linen, PSY.D.

• Dentist in Auburn, AL
• Providers in Auburn, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.