Michael W. Noble DMD PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2005012885 Issued in MO

Legal business name

MICHAEL W. NOBLE DMD PC

Practice address

1585 Woodlake Dr
Suite 208
Chesterfield, MO 63017-5740

Phone

(314) 251-6725

NPI assigned

Feb 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael V. Sarli, MHA

Title

Administrator

Phone

(314) 251-6725

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Oral Facial Surgery Institute Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1275671109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 WOODLAKE DR",
            "address_2": "SUITE 208",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175740",
            "telephone_number": "314-878-6725",
            "fax_number": "314-878-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 WOODLAKE DR",
            "address_2": "SUITE 208",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175740",
            "telephone_number": "314-251-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. NOBLE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "SARLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-251-6725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2005012885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1366557530",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. SUDEN'S NPI#",
            "identifier": "1760558787",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Facial Surgery Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Leigh Meyers, MD
• Phillip Robert Meyers
• Michael Cannon, MD Personalized Medicine, LLC
• Michael F Grasso DDS & Associates PC
• Michael V Oliveri
• Bryan J Micklevitz, PHARMD
• Mid West Clinical Practice LLC
• Mid-West Anesthesia Partners, LLC
• Midamerica Surgery Center
• Midwest Diagnostic Cardiology, LLC

• Oral and Maxillofacial Surgery (Dentist) in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.