Provider Demographics
NPI:1376359497
Name:DODSON AND LILES SMILES, LLC
Entity type:Organization
Organization Name:DODSON AND LILES SMILES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:BRABNER
Authorized Official - Last Name:LILES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:334-887-0099
Mailing Address - Street 1:1204 OGLETREE VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-2960
Mailing Address - Country:US
Mailing Address - Phone:334-887-0099
Mailing Address - Fax:334-209-2067
Practice Address - Street 1:428 MADISON ST
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-2571
Practice Address - Country:US
Practice Address - Phone:334-444-1454
Practice Address - Fax:334-209-2067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty