| 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 |