Active NPI
Liles Pediatric Dentistry
- Pediatric Dentistry
- Auburn, AL
National Provider Identifier
1669793246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- LILES PEDIATRIC DENTISTRY
- Practice address
- 1204 Ogletree Village LN
Auburn, AL 36830-2960 - Phone
- (334) 887-0099
- Fax
- (334) 209-2067
- NPI assigned
- Jun 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Brabner Liles, DMD
- Title
- Dentist
- Phone
- (205) 401-4998
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
1204 Ogletree Village LN
Auburn, AL 36830-2960
Mailing address
PO Box 1148
Montgomery, AL 36101-1148
Phone (205) 401-4998
National Provider Directory
National Provider DirectoryLocations
2828 W Edgemont Ave
Montgomery, AL 36108
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Auburn, AL
- NPI 1114115169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1669793246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1148",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361011148",
"telephone_number": "205-401-4998"
},
{
"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": {
"organization_name": "LILES PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-17",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "LILES",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "BRABNER",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "205-401-4998",
"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 Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.