Organization Active NPI

Liles Pediatric Dentistry

  • Pediatric Dentistry
  • Auburn, AL
National Provider Identifier
1669793246
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Feb 18, 2025

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
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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.