# BILL G. GOBLE, D.D.S., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164567012
- **Authorized official:** MRS. MARY JANE GOBLE WIFE (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (785) 271-5111

## Contact information

- **Practice address:** 2445 SW WANAMAKER RD, TOPEKA, KS 66614-5470
- **Practice address phone:** (785) 271-5111
- **Practice address fax:** (785) 271-5556
- **Mailing address:** 2445 SW WANAMAKER RD, TOPEKA, KS 66614-5470
- **Mailing address phone:** (785) 271-5111
- **Mailing address fax:** (785) 271-5556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1477542587 | NPI INDIVIDUAL NUMBER | KS |
| 05 | — | 4087586801 | — | KS |