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BRADFORD B. LILES, DMD, PC
NPI 1649670936
Dentist - General Practice in Theodore, AL

Active since August 25, 2014
5721 HIGHWAY 90 STE A, THEODORE, AL 36582(251) 653-1300(251) 653-1242 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradford B. Liles, Dmd, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADFORD B. LILES, DMD, PC (NPI 1649670936) is a healthcare organization registered as a general practice in Theodore, Alabama and active in the NPI registry since August 2014. The organization lists Bradford Bowen Liles, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1649670936
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRADFORD B. LILES, DMD, PC
Location Address5721 HIGHWAY 90 STE ATheodore, AL 36582-3601
Mailing Address5721 Highway 90 Ste ATheodore, AL 36582-3601 · (251) 653-1300 · Fax (251) 653-1242
Phone(251) 653-1300
Fax(251) 653-1242
Organization SubpartNo
Authorized OfficialBradford Bowen LilesOwner/dentist · (251) 653-1300
Enumeration DateAugust 25, 2014
✔ NPI 1649670936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AL · 5762
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5721 HIGHWAY 90 STE A, Theodore, AL 36582
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE REDDITT DMD, PLLC
Clinic/Center (Dental)
5721 HIGHWAY 90 STE A
THEODORE, AL 36582
Mobile County (251) 653-1242
DR. BRADFORD BOWEN LILES DMD
Dentist (General Practice)
5721 HIGHWAY 90 STE A
THEODORE, AL 36582
Mobile County (251) 653-1300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradford B. Liles, Dmd, PC's NPI number?

The NPI number for Bradford B. Liles, Dmd, PC is 1649670936. It was assigned to this organization in the NPPES registry on August 25, 2014.

Where is Bradford B. Liles, Dmd, PC located?

Bradford B. Liles, Dmd, PC is located at 5721 Highway 90 Ste A, Theodore, AL 36582. The listed phone number is (251) 653-1300.

What is Bradford B. Liles, Dmd, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bradford B. Liles, Dmd, PC was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.