Antoinette Liles, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN29815 Issued in FL

Practice address

190 Riverwind Dr Ste 201
Pearl, MS 39208-3387

Phone

(601) 882-5600

NPI assigned

Jun 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Mint Dental LLC

  • Dental Clinic/Center
  • Pearl, MS
  • NPI 1427641950
  NPD Authorized official
• Nash Dental Group-Pearl

  • General Practice Dentistry
  • Pearl, MS
  • NPI 1497578306
  NPD
• Sage Dental of Downtown Fort Lauderdale PLLC

  • Dentist
  • Fort Lauderdale, FL
  • NPI 1972999159
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1487035366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N FEDERAL HWY STE 900",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012559",
            "telephone_number": "954-358-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 RIVERWIND DR STE 201",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392083387",
            "telephone_number": "601-882-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Grants Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390479023",
            "country_code": "US",
            "telephone_number": "601-992-1371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 NW 125th Ave Apt 223",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333236318",
            "country_code": "US",
            "telephone_number": "989-598-6609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILES",
        "first_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3807-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Kincaid
• Catrina D Kitchens
• William Frederick Krooss, MD
• Mitchell Ray Langston, R.PH.
• Lifesteps, Inc
• Livewell With Traditions, LLC
• Alicia Sherpree Lockett, LMSW
• Tara Lomax, ED.D
• Abigail Lupena, D.M.D.
• Monique Luvene

• General Practice Dentistry in Pearl, MS
• Providers in Pearl, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.