# LILES PEDIATRIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669793246
- **Authorized official:** DR. GEORGE BRABNER LILES DMD (DENTIST)
- **Authorized official phone:** (205) 401-4998

## Contact information

- **Practice address:** 1204 OGLETREE VILLAGE LN, AUBURN, AL 36830-2960
- **Practice address phone:** (334) 887-0099
- **Practice address fax:** (334) 209-2067
- **Mailing address:** PO BOX 1148, MONTGOMERY, AL 36101-1148
- **Mailing address phone:** (205) 401-4998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 02/18/2025