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General NPI Number Information
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NPI Number | 1033076898
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Entity Type | Organization
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Legal Business Name | NORTH AUBURN DENTISTRY LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 785 N DEAN RD STE 600
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City | AUBURN
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State | AL
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Zip | 36830-4034
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Country | US
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Telephone | 334-316-3651
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Fax | 334-539-5567
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Provider Business Mailing Address
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Address Line | 2234 OGLETREE VILLAGE LN
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City | AUBURN
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State | AL
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Zip | 36830-2967
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Country | US
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Telephone | 334-539-5570
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Fax | 334-539-5567
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Authorized Official
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Title or Position | OWNER
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Name | BRADFORD LILES
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Credential | DMD
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Telephone | 251-422-6833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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