Organization
MICHAEL W. NOBLE DMD PC
Active
Other names
Oral Facial Surgery Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL V. SARLI MHA (ADMINISTRATOR)
(314) 251-6725
Entity
Organization
Contact information
Practice address
1585 WOODLAKE DR, SUITE 208, CHESTERFIELD, MO 63017-5740
(314) 251-6725
Mailing address
1585 WOODLAKE DR, SUITE 208, CHESTERFIELD, MO 63017-5740
(314) 878-6725
(314) 878-6726
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2005012885
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366557530
NPI NUMBER
MO
01
—
1760558787
DR. SUDEN'S NPI#
MO
Enumeration date
02/02/2007
Last updated
08/01/2007
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