LILES PEDIATRIC DENTISTRY (NPI# 1669793246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669793246 |
| Entity Type | Organization |
| Organization Name | LILES PEDIATRIC DENTISTRY |
| Practice Address |
2828 W Edgemont Ave Montgomery AL 36108-4020 |
| Mailing Address |
Po Box 1148 Montgomery AL 36101-1148 |
| Practice Telephone | 2054014998 |
| Mailing Telephone | 2054014998 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Authorized Official Name | DR. GEORGE BRABNER LILES (DENTIST) |
| Authorized Official Telephone | 2054014998 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
2828 W EDGEMONT AVE |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36108-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362848 | Avery Chikezie Anaje | Dentist | 3060 Mobile Highway, Montgomery, AL 36108 | 2019-12-02 |
| 1871986356 | Jamelle Young | Pharmacist | 4720 Mobile Hwy, Montgomery, AL 36108 | 2015-03-09 |
| 1821113465 | St. Jude Catholic Hospital | Skilled Nursing Facility | 1820 Oak Strret, Montgomery, AL 36108 | 2007-03-20 |
| 1467823427 | Yleis Engerman | Counselor | 126 Grovewood Ct, Montgomery, AL 36108-1802 | 2015-10-15 |
| 1699181131 | Debra Lynn Nix | Specialist | 285 Hunter Loop Rd, Montgomery, AL 36108-1822 | 2014-07-04 |
| 1457626111 | Jeremy Romine | Physician Assistant | 3101 Tine Ave, Montgomery, AL 36108-2309 | 2012-03-14 |
| 1548302680 | Pediatric Therapy Services LLC | Clinic/Center | 1031 Oak St, Montgomery, AL 36108-2829 | 2007-02-13 |
| 1578059895 | Communication Awaits LLC | Clinic/Center | 1031 Oak St, Montgomery, AL 36108-2829 | 2018-07-10 |
| 1417229824 | Shundreya George-jefferson | Occupational Therapist | 1031 Oak St, Montgomery, AL 36108-2829 | 2012-01-31 |
| 1881864940 | Deirdre Cottrell | Physical Therapist | 1031 Oak St, Montgomery, AL 36108-2829 | 2008-03-05 |
| Find all providers in zip 36108 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578091815 | Bush Pediatric Dentistry | Dentist | 4740 Woodmere Blvd, Montgomery, AL 36106-3065 | 2017-05-31 |
| 1588714448 | Marcia Stoddart White | Dentist | 3084 Woodley Rd, Montgomery, AL 36116-3149 | 2007-01-11 |
| 1629128053 | Benjamin Joseph Cumbus | Dentist | 5833 Carmichael Rd, Montgomery, AL 36117-2329 | 2007-01-10 |
| 1598838153 | John H Payne | Dentist | 2600 Bell Rd, Montgomery, AL 36117-4375 | 2006-11-15 |
| 1285743872 | Richard K. Vann | Dentist | 7015 Halcyon Park Dr, Montgomery, AL 36117-7763 | 2006-08-29 |
| 1447759576 | Andrew Peter Owens | Dentist | 2600 Bell Rd, Montgomery, AL 36117-4375 | 2018-02-05 |
| 1265837199 | James Mallory Jenkins Jr. | Dentist | 7015 Halcyon Park Dr, Montgomery, AL 36117-7763 | 2014-11-04 |
| 1942614417 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 3439 Mcgehee Rd, Montgomery, AL 36111-3392 | 2014-06-12 |
| 1275769986 | Dentistry for Children PC | Dentist | 5833 Carmichael Rd, Montgomery, AL 36117 | 2009-06-09 |
| 1871738542 | Dentistry for Children | Dentist | 5833 Carmichael Rd, Montgomery, AL 36117 | 2008-12-10 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36108 |
Please comment or provide details below to improve the information on LILES PEDIATRIC DENTISTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.