MEDICARE: RICHARD O. NOBLET, D.D.S., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	3115	AL

General Provider Information

NPI Number	:	1841329083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD O. NOBLET, D.D.S., P.C.

Provider Business Mailing Address
First Line	:	801 UNIVERSITY BLVD S STE C
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36609-2923
Country	:	US
Telephone Number	:	251-342-5323
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 UNIVERSITY BLVD S STE C
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36609-2923
Country	:	US
Telephone Number	:	251-342-5323
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. MELLIE L NOBLET
Credential	:
Telephone Number	:	251-342-5323

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	08/22/2020

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