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Dr. Bradford Bowen Liles, DMD
General Practice Dentistry in Theodore, Alabama
NPI 1447570825

Bradford Bowen Liles is a General Practice Dentistry based in Theodore, AL and is specialized in General Practice. Bradford Bowen Liles practices in Theodore, AL and has the professional credentials of DMD. The NPI Number for Bradford Bowen Liles is 1447570825 and holds a License No. 5762 (Alabama).

The current practice location address for Bradford Bowen Liles is 5721 Highway 90 Ste A, Theodore, AL and can be reached out via phone at 251-653-1300 and via fax at 251-653-1300.

Location: 5721 Highway 90 Ste A, Theodore, AL, 36582-3601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447570825
Provider Name
Bradford Bowen Liles
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
5721 Highway 90 Ste A, Theodore, AL, 36582-3601
Phone Number
251-653-1300
Fax Number
251-653-1300
Provider Enumeration Date
06/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5721 Highway 90 Ste A
City
Theodore
State
Alabama
Zip
36582-3601
Phone Number
251-653-1300
Fax Number
251-653-1300
person
Provider Business Mailing Address Details
Address
5721 Highway 90 Ste A
City
Theodore
State
Alabama
Zip
36582-3601
Phone Number
251-653-1300
Fax Number
251-653-1300
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5762 (Alabama)
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.
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