MEDICARE: DR. KAREN NOEL

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	12010754A	IN

General Provider Information

NPI Number	:	1982781894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN NOEL

Provider Business Mailing Address
First Line	:	6814 CREEK VALE WAY
Second Line	:	APT. 2G
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-8803
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2248 E 53RD ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3479
Country	:	US
Telephone Number	:	317-784-4234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/09/2007

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