| Denise P Noel | |
|
618 N Houston Lake Blvd Centerville GA 31028-1010 | |
| (478) 956-6520 | |
| Not Available |
| Full Name | Denise P Noel |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 618 N Houston Lake Blvd, Centerville, Georgia |
| Authorized Official Name and Position | Denise Patrick Noel (DENTISIT) |
| Authorized Official Contact | 4789536520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise P Noel 618 N Houston Lake Blvd Centerville GA 31028 Ph: (478) 956-6520 | Denise P Noel 618 N Houston Lake Blvd Centerville GA 31028-1010 Ph: (478) 956-6520 |
| NPI Number | 1255640082 |
|---|---|
| Provider Enumeration Date | 09/28/2010 |
| Last Update Date | 09/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255640082 | NPI | - | NPPES |
| 979736219A | Medicaid | GA | |
| 1982750766 | Other | GA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10704 (Georgia) | Primary |