Provider Demographics
NPI:1730635772
Name:NOBLE DENTAL CENTER , LTD
Entity Type:Organization
Organization Name:NOBLE DENTAL CENTER , LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MANHEIR
Authorized Official - Middle Name:F
Authorized Official - Last Name:CHEHAIBER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-776-7700
Mailing Address - Street 1:6235 S KEDZIE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-3304
Mailing Address - Country:US
Mailing Address - Phone:773-776-7700
Mailing Address - Fax:773-776-8244
Practice Address - Street 1:6235 S KEDZIE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-3304
Practice Address - Country:US
Practice Address - Phone:773-776-7700
Practice Address - Fax:773-776-8244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty