Provider Demographics
NPI:1295828796
Name:NOBLE, RYAN M (DMD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:M
Last Name:NOBLE
Suffix:
Gender:M
Credentials:DMD
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Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
Mailing Address - Street 2:501 S. PRESTON ST.
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40292
Mailing Address - Country:US
Mailing Address - Phone:502-852-1187
Mailing Address - Fax:502-852-1220
Practice Address - Street 1:UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
Practice Address - Street 2:501 S. PRESTON ST.
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40292
Practice Address - Country:US
Practice Address - Phone:502-852-1187
Practice Address - Fax:502-852-1220
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY43521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice