# CLARKSON ORAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral Facial Surgery institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114498946
- **Authorized official:** MICHAEL W NOBLE DMD (OWNER)
- **Authorized official phone:** (314) 251-6725

## Contact information

- **Practice address:** 2997 CLARKSON RD, STE 120, CHESTERFIELD, MO 63017
- **Practice address phone:** (636) 948-6725
- **Mailing address:** 2997 CLARKSON RD, STE 120, CHESTERFIELD, MO 63017
- **Mailing address phone:** (636) 948-6725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2018
- **Last updated:** 12/05/2018