Individual
DR. GREGG ALAN NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5525 GEORGETOWN RD, SUITE B, INDIANAPOLIS, IN 46254-3724
(317) 298-9804
(317) 298-0979
Mailing address
5525 GEORGETOWN RD, SUITE B, INDIANAPOLIS, IN 46254-3724
(317) 298-9804
(317) 298-0979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008651A
IN
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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