Individual
DR. JEFFREY VERNON NOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
114 N KANSAS ST, EDWARDSVILLE, IL 62025-1769
(618) 692-1449
Mailing address
114 N KANSAS ST, EDWARDSVILLE, IL 62025-1769
(618) 692-1449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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