Liles, George B
Liles, George B is an sole proprietor health care provider with primary practice located at 2320 Moores Mill Rd Suite 250, Auburn AL 36830-8402. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Liles, George B can be contacted via phone (334) 887-0099.Contact Information
Primary practice address
2320 Moores Mill Rd Suite 250
Auburn AL 36830-8402
Phone: (334) 887-0099
Fax: (334) 209-2067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5561 | Alabama |
Profile Details
| NPI number | 1114115169 |
|---|---|
| LBN Legal business name | Liles, George B |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2007 |
| Last updated | Aug 22nd, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114115169 | NPPES |
| Alabama | MEDICAID | 128489 |
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