Individual
DR. DENISE PATRICK NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
618 N HOUSTON LAKE BLVD, CENTERVILLE, GA 31028-1010
(478) 953-6554
(478) 953-6519
Mailing address
618 N HOUSTON LAKE BLVD, CENTERVILLE, GA 31028-1010
(478) 953-6554
(478) 953-6519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10704
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000379387B
—
GA
01
—
258250208
SS NUMBER
GA
01
—
581904810
TAX ID
GA
Enumeration date
01/26/2007
Last updated
12/17/2015
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