Organization
NOBLE ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BRODY (CREDENTIALING MANAGER)
(267) 494-1483
Entity
Organization
Contact information
Practice address
817 OLD YORK RD STE 106, JENKINTOWN, PA 19046-1623
(267) 691-0011
Mailing address
211 GEIGER RD, PHILADELPHIA, PA 19115-1009
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
01/24/2025
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