Provider Demographics
NPI:1043664915
Name:NOEL, ANNE
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:NOEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 ROZELLE RD
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04410-3313
Mailing Address - Country:US
Mailing Address - Phone:207-327-1331
Mailing Address - Fax:
Practice Address - Street 1:5 WINTER ST
Practice Address - Street 2:
Practice Address - City:DOVER FOXCROFT
Practice Address - State:ME
Practice Address - Zip Code:04426-1022
Practice Address - Country:US
Practice Address - Phone:207-564-3455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERDH713124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist