Provider Demographics
NPI:1386647378
Name:JAMES C LYLES, DDS, INC.
Entity Type:Organization
Organization Name:JAMES C LYLES, DDS, INC.
Other - Org Name:SMILES BY LYLES ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:LYLES
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-655-8500
Mailing Address - Street 1:8111 CYPRESSWOOD DR
Mailing Address - Street 2:STE 108
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7180
Mailing Address - Country:US
Mailing Address - Phone:281-655-8500
Mailing Address - Fax:281-257-2944
Practice Address - Street 1:8111 CYPRESSWOOD DR
Practice Address - Street 2:STE 108
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7180
Practice Address - Country:US
Practice Address - Phone:281-655-8500
Practice Address - Fax:281-257-2944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty