Organization Active NPI

Dodson and Liles Smiles, LLC

  • Pediatric Dentistry
  • Alexander City, AL
National Provider Identifier
1376359497
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DODSON AND LILES SMILES, LLC
Practice address
428 Madison St
Alexander City, AL 35010-2571
Phone
(334) 444-1454
Fax
(334) 209-2067
NPI assigned
Dec 4, 2024
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dr. George Brabner Liles, DMDNPI 1114115169
Title
Owner/Dentist
Phone
(334) 887-0099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

428 Madison St
Alexander City, AL 35010-2571

Mailing address

1204 Ogletree Village LN
Auburn, AL 36830-2960
Phone (334) 887-0099

National Provider Directory

National Provider Directory

Locations

428 Madison St
Alexander City, AL 35010
Phone (334) 444-1454

1204 Ogletree Village Ln
Auburn, AL 36830
Phone (334) 887-0099

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1376359497",
    "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": "428 MADISON ST",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350102571",
            "telephone_number": "334-444-1454",
            "fax_number": "334-209-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODSON AND LILES SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BRABNER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "334-887-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

  • 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.