Individual
DR. NOEL EVAN DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
PSC BOX 20130, COMMANDING OFFICER, 2D DENBN/NDC 315 MCHUGH BLVD, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8036
Mailing address
COMPSC BOX 20130, COMMANDING OFFICER, 2D DENBN/NDC 315 MCHUGH BLVD, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9312
KY
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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