Provider Demographics
NPI:1932293412
Name:NOBLE, JOSEPH H (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:H
Last Name:NOBLE
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 1:6609 BLANCO RD., SUITE 105
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6131
Mailing Address - Country:US
Mailing Address - Phone:210-342-1001
Mailing Address - Fax:210-342-1012
Practice Address - Street 1:6609 BLANCO RD., SUITE 105
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6131
Practice Address - Country:US
Practice Address - Phone:210-342-1001
Practice Address - Fax:210-342-1012
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX186431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice