| 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 |