NPIMap

Organization Active NPI

Liles Family Dentistry, LLC

  • Dental Clinic/Center
  • Auburn, AL
National Provider Identifier
1689295339
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LILES FAMILY DENTISTRY, LLC
Practice address
2234 Ogletree Village LN
Auburn, AL 36830-2967
Phone
(334) 539-5570
Fax
(334) 539-5567
NPI assigned
May 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Dr. Bradford Liles, DMDNPI 1447570825
Title
Dentist
Phone
(334) 539-5570

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2234 Ogletree Village LN
Auburn, AL 36830-2967

Mailing address

1523 Marie Loop
Auburn, AL 36830-6720
Phone (251) 422-6833

National Provider Directory

National Provider Directory

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": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1689295339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 MARIE LOOP",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306720",
            "telephone_number": "251-422-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 OGLETREE VILLAGE LN",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302967",
            "telephone_number": "334-539-5570",
            "fax_number": "334-539-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILES FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "334-539-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 May 5, 2020; 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.