Provider Demographics
NPI:1013027515
Name:NOBLIN, RALPH TODD (DDS)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:TODD
Last Name:NOBLIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 DONNELL ST
Mailing Address - Street 2:
Mailing Address - City:MC MINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-2541
Mailing Address - Country:US
Mailing Address - Phone:931-473-7888
Mailing Address - Fax:931-473-9993
Practice Address - Street 1:205 DONNELL ST
Practice Address - Street 2:
Practice Address - City:MC MINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2541
Practice Address - Country:US
Practice Address - Phone:931-473-7888
Practice Address - Fax:931-473-9993
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS74891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice