Individual provider · Type 1 NPI
Bradford Bowen Liles, DMD
General Practice Dentistry · Theodore, AL
NPI number
1447570825
Active
Practice location
5721 Highway 90 Ste A
Theodore, AL 36582-3601
Fax (251) 653-1300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5762 (AL) |
General Practice Dentistry: 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.
2 other providers at this address
Other general practice dentistry providers in Theodore
About NPI 1447570825
Bradford Bowen Liles, DMD's National Provider Identifier is 1447570825, issued on Jun 8, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Theodore, AL. The record was last updated on Aug 25, 2014.