Provider Demographics
NPI:1902829732
Name:NOBLETT, WILLIAM JEFFREY (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JEFFREY
Last Name:NOBLETT
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 1:112 BARDEN ST
Mailing Address - Street 2:PO BOX 1085
Mailing Address - City:ROXBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27573-5411
Mailing Address - Country:US
Mailing Address - Phone:336-599-2689
Mailing Address - Fax:336-599-1064
Practice Address - Street 1:112 BARDEN ST
Practice Address - Street 2:
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573-5411
Practice Address - Country:US
Practice Address - Phone:336-599-2689
Practice Address - Fax:336-599-1064
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice