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NPI Code Detail

MEDICARE: DR. DAVID NOBLE DDS

MEDICARE:  DR. DAVID  NOBLE  DDS
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
11223G0001XGeneral Practice Dentistry4176NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396839528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID NOBLE DDS
Provider Business Mailing Address
First Line : 1410 BROADWAY ST.
Second Line : PO BOX 493
City : DAKOTA CITY
State : NE
Zip : 68731-0493
Country : US
Telephone Number : 402-987-3484
Fax Number :
Provider Business Practice Location Address
First Line : 1410 BROADWAY ST.
Second Line :
City : DAKOTA CITY
State : NE
Zip : 68731-0493
Country : US
Telephone Number : 402-987-3484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID NOBLE DDS” Practice Location

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