Individual
JAKE ROBERT NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4004 BALMORAL DR SW STE B, HUNTSVILLE, AL 35801-6402
(256) 658-6637
Mailing address
7022 SOUTHCREEK DR SE, OWENS CROSS ROADS, AL 35763-9185
(256) 658-6637
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5757
AL
1223G0001X
General Practice Dentistry
Primary
5757 C1
AL
Other
Enumeration date
07/06/2010
Last updated
07/21/2022
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