Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradford B. Liles, DMD, PC

Organization General Practice Dentistry · NPI 1649670936

Bradford B. Liles, DMD, PC is a General Practice Dentistry in Theodore, Alabama. Licensed in Alabama. Registered with an NPI since 2014.

Licensed in
AL
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5721 Highway 90 Ste A
Theodore, AL 36582-3601
Phone: (251) 653-1300
Fax: (251) 653-1242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5762 (AL)

Record details

NPI number1649670936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradford Liles — Owner/Dentist · (251) 653-1300
NPI enumeratedAugust 25, 2014
Last updated in NPPESAugust 25, 2014
Mailing address5721 Highway 90 Ste A, Theodore, AL 36582-3601

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