Individual
MICHAEL W NOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10200 W MAIN ST, BELLEVILLE, IL 62223-1408
(618) 397-2464
(618) 398-4450
Mailing address
10200 W MAIN ST, BELLEVILLE, IL 62223-1408
(618) 400-6725
(618) 500-6725
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019019361
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
14929
MO
Other
Enumeration date
10/27/2005
Last updated
02/20/2024
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