Provider Demographics
NPI:1942937180
Name:STILES DENTAL GROUP LLC
Entity Type:Organization
Organization Name:STILES DENTAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:STILES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:334-329-8694
Mailing Address - Street 1:1655 CREEKWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-2727
Mailing Address - Country:US
Mailing Address - Phone:334-510-3990
Mailing Address - Fax:334-510-3991
Practice Address - Street 1:2542 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-6860
Practice Address - Country:US
Practice Address - Phone:334-510-3990
Practice Address - Fax:334-510-3991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty