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1033076898 NPI number — NORTH AUBURN DENTISTRY LLC

NPI Number: 1033076898
Health Care Provider/Practitioner: NORTH AUBURN DENTISTRY LLC

Information about “1033076898” NPI (NORTH AUBURN DENTISTRY LLC) exists in 1033076898 in HTML format HTML  |  1033076898 in plain Text format TXT  |  1033076898 in PDF (Portable Document Format) PDF  |  1033076898 in an XML format XML  formats.

NPI Number : 1033076898 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033076898",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NORTH AUBURN DENTISTRY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2234 OGLETREE VILLAGE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUBURN",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "36830-2967",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "334-539-5570",
    "MailingAddressFaxNumber": "334-539-5567",
    "FirstLinePracticeLocationAddress": "785 N DEAN RD STE 600",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUBURN",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36830-4034",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "334-316-3651",
    "PracticeLocationAddressFaxNumber": "334-539-5567",
    "EnumerationDate": "01/05/2026",
    "LastUpdateDate": "01/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LILES",
    "AuthorizedOfficialFirstName": "BRADFORD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DMD",
    "AuthorizedOfficialTelephoneNumber": "251-422-6833",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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