Organization
MICHAEL W. NOBLE DMD PC
Active
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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