Organization
MICHAEL W. NOBLE, DMD, PC
Active
Parent organization
MICHAEL W. NOBLE, DMD, PC
Other names
Oral Facial Surgery Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL W. NOBLE, DMD, PC
Authorized official
MR. SCOTT EDWARD GRAHAM MA, CMPE (ADMINISTRATOR)
(314) 251-6725
Entity
Organization
Contact information
Practice address
60 EAST NORTH STREET, EUREKA, MO 63025
(314) 251-6725
(314) 251-6726
Mailing address
60 EAST NORTH STREET, EUREKA, MO 63025
(314) 251-6725
(314) 251-6726
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083817142
NPI NUMBER FOR MAKEPEACE B. CHARLES, DDS
MO
01
—
1760558787
NPI NUMBER FOR MICHAEL E. SUDEN, DDS
MO
Enumeration date
05/22/2008
Last updated
05/22/2008
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