Dr Bradford Bowen Liles, DMD | |
5721 Highway 90 Ste A, Theodore, AL 36582-3601 | |
(251) 653-1300 | |
(251) 653-1300 |
Full Name | Dr Bradford Bowen Liles |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 5721 Highway 90 Ste A, Theodore, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447570825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5762 (Alabama) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Bradford Bowen Liles, DMD 5721 Highway 90 Ste A, Theodore, AL 36582-3601 Ph: (251) 653-1300 | Dr Bradford Bowen Liles, DMD 5721 Highway 90 Ste A, Theodore, AL 36582-3601 Ph: (251) 653-1300 |
Dr. Megan Karst Jackson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5710 Katherine Hankins Dr, Theodore, AL 36582 Phone: 251-653-0633 | |
Dr. Joseph Anthony Tombrello, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 5710 Katherine Hankins Dr, Theodore, AL 36582 Phone: 251-653-0633 Fax: 251-653-7807 |