Provider Demographics
NPI:1841329083
Name:RICHARD O. NOBLET, D.D.S., P.C.
Entity type:Organization
Organization Name:RICHARD O. NOBLET, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELLIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:NOBLET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-342-5323
Mailing Address - Street 1:801 UNIVERSITY BLVD S STE C
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-2923
Mailing Address - Country:US
Mailing Address - Phone:251-342-5323
Mailing Address - Fax:
Practice Address - Street 1:801 UNIVERSITY BLVD S STE C
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-2923
Practice Address - Country:US
Practice Address - Phone:251-342-5323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL31151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty