OrganizationActive
Bradford B. Liles, DMD, PC
NPI 1649670936 · General Practice Dentistry · Theodore, AL
Bradford B. Liles, DMD, PC is a General Practice Dentistry organization in Theodore, AL (NPI 1649670936).
Provider details
- NPI number
- 1649670936
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bradford Liles, Owner/Dentist(251) 653-1300
- License
- 5762 (AL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5721 Highway 90 Ste a
Theodore, AL 36582-3601
Phone: (251) 653-1300
Fax: (251) 653-1242
Approximate (ZIP-level) locationGet directions
Mailing address
5721 Highway 90 Ste a
Theodore, AL 36582-3601
Registry dates
- Enumerated
- 2014-08-25
- Last updated
- 2014-08-25
Frequently asked questions
- What is Bradford B. Liles, DMD, PC's NPI number?
- Bradford B. Liles, DMD, PC's National Provider Identifier (NPI) is 1649670936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bradford B. Liles, DMD, PC?
- Bradford B. Liles, DMD, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Bradford B. Liles, DMD, PC located?
- Bradford B. Liles, DMD, PC's practice location on file with NPPES is 5721 Highway 90 Ste a, Theodore, AL 36582-3601.
- What is Bradford B. Liles, DMD, PC's phone number?
- The practice phone number listed in the NPPES registry for Bradford B. Liles, DMD, PC is (251) 653-1300.
- Who is the authorized official for Bradford B. Liles, DMD, PC?
- The authorized official listed on Bradford B. Liles, DMD, PC's NPPES record is Bradford Liles, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bradford B. Liles, DMD, PC's NPI active?
- Yes — Bradford B. Liles, DMD, PC's NPI (1649670936) is active in the NPPES registry as of the last update on 2014-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.