# MICHAEL W NOBLE DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** oral facial surgery institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649320268
- **Authorized official:** MR. MICHAEL V SARLI MHA (ADMINISTRATOR)
- **Authorized official phone:** (314) 251-6725

## Contact information

- **Practice address:** 621 S NEW BALLAS RD, SUITE 16A, SAINT LOUIS, MO 63141-8232
- **Practice address phone:** (314) 251-6725
- **Practice address fax:** (314) 251-4367
- **Mailing address:** 621 SOUTH NEW BALLAS ROAD, SUITE 16A, ST. LOUIS, MO 63141
- **Mailing address phone:** (314) 251-6725
- **Mailing address fax:** (314) 251-4367

## Taxonomy

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

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/01/2007