Individual
DR. NOAH PROVIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
28200 ORCHARD LAKE RD STE 100, FARMINGTON HILLS, MI 48334-3761
(248) 851-3030
Mailing address
28200 ORCHARD LAKE RD STE 100, FARMINGTON HILLS, MI 48334-3761
(248) 851-3030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602782
MI
Other
Enumeration date
07/28/2025
Last updated
05/06/2026
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