Provider Demographics
NPI:1982710018
Name:NOBLE, RAYMOND REAGON II (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:REAGON
Last Name:NOBLE
Suffix:II
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Mailing Address - Street 1:2402 COLLEGE HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-5298
Mailing Address - Country:US
Mailing Address - Phone:325-949-2824
Mailing Address - Fax:325-949-0383
Practice Address - Street 1:2402 COLLEGE HILLS BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-5298
Practice Address - Country:US
Practice Address - Phone:325-949-2824
Practice Address - Fax:325-949-0383
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX213751223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics