MEDICARE: AUBURN COSMETIC AND IMPLANT DENTISTRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1528881463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUBURN COSMETIC AND IMPLANT DENTISTRY LLC

Provider Business Mailing Address
First Line	:	2234 OGLETREE VILLAGE LN
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-2967
Country	:	US
Telephone Number	:	334-539-5570
Fax Number	:	334-539-5567

Provider Business Practice Location Address
First Line	:	785 N DEAN RD STE 600
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-4034
Country	:	US
Telephone Number	:	334-442-0833
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRADFORD B LILES
Credential	:	D.M.D.
Telephone Number	:	334-539-5570

Provider Enumeration Date	:	11/07/2024
Last Update Date	:	01/05/2026

Similar Medicare Providers

1033076898 — NORTH AUBURN DENTISTRY LLC
Practice Location Address:

785 N DEAN RD STE 600
AUBURN, AL
36830-4034

Practice Phone: 334-316-3651
Practice Fax: 334-539-5567

1215029053 — AUBURN DERMATOLOGY AND SKIN CANCER CENTER
Practice Location Address:

785 N DEAN RD STE 400
AUBURN, AL
36830-4034

Practice Phone: 334-887-5060
Practice Fax: 334-887-4367

1437415163 — AARON MICHAEL HAWKINS M.D.
Practice Location Address:

785 N DEAN RD STE 400
AUBURN, AL
36830-4034

Practice Phone: 334-275-7440
Practice Fax: 334-218-5815

1891194601 — DEBRA LEE MADSON CRNP
Practice Location Address:

785 N DEAN RD STE 400
AUBURN, AL
36830-4034

Practice Phone: 334-275-7440
Practice Fax: 334-218-5815

1497135347 — AUBURN GASTROENTEROLOGY, LLC
Practice Location Address:

835 N DEAN RD STE A
AUBURN, AL
36830-4034

Practice Phone: 343-297-8223
Practice Fax: 888-667-1168

1659877967 — COLEMAN KIDD COSGROVE
Practice Location Address:

785 N DEAN RD STE 300
AUBURN, AL
36830-4034

Practice Phone: 334-734-5007
Practice Fax: 334-325-2306

Directions to “AUBURN COSMETIC AND IMPLANT DENTISTRY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.