Provider Demographics
NPI:1013932920
Name:NOBLES & HARRELSON DENTISTRY PARTNERSHIP
Entity Type:Organization
Organization Name:NOBLES & HARRELSON DENTISTRY PARTNERSHIP
Other - Org Name:WILLOWBROOK DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-327-4523
Mailing Address - Street 1:540 WILLOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-2017
Mailing Address - Country:US
Mailing Address - Phone:662-327-4523
Mailing Address - Fax:662-327-1391
Practice Address - Street 1:540 WILLOWBROOK
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705
Practice Address - Country:US
Practice Address - Phone:662-327-4523
Practice Address - Fax:662-327-1391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS325403122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty