Organization
MICHAEL W. NOBLE, DMD, PC
Active
Other names
Oral Facial Surgery Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT E GRAHAM (OFFICE MANAGER)
(314) 251-6725
Entity
Organization
Contact information
Practice address
12166 OLD BIG BEND RD, STE. 101, KIRKWOOD, MO 63122-6844
(314) 822-7123
(314) 822-7814
Mailing address
12166 OLD BIG BEND RD, STE. 101, KIRKWOOD, MO 63122-6844
(314) 822-7123
(314) 822-7814
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
010781
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
011430
MO
Other
Enumeration date
11/13/2008
Last updated
05/28/2010
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