Provider Demographics
NPI:1134336043
Name:DEHLINGER, NOAH CHRIS (DDS)
Entity type:Individual
Prefix:DR
First Name:NOAH
Middle Name:CHRIS
Last Name:DEHLINGER
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 1:160 SIR FRANCIS DRAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94960-2539
Mailing Address - Country:US
Mailing Address - Phone:415-457-9242
Mailing Address - Fax:415-453-2131
Practice Address - Street 1:160 SIR FRANCIS DRAKE BLVD.
Practice Address - Street 2:
Practice Address - City:SAN ANSELMO
Practice Address - State:CA
Practice Address - Zip Code:94960-2359
Practice Address - Country:US
Practice Address - Phone:415-457-9242
Practice Address - Fax:415-453-2131
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA523711223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics