Ronald E. Noe, D.D.S.

Individual provider Active NPI General Practice Dentistry · Lake City, TN

NPI 1487635348 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1487635348
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS3464 (TN)
Practice address
305 S Main St
Lake City, TN 37769-2206
Phone
(865) 426-7421
Fax
(865) 426-7422
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DS3464TNMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS3464 TN Yes

Addresses

Primary practice location

305 S Main St
Lake City, TN 37769-2206

Mailing address

305 S Main St
PO Box 599
Lake City, TN 37769-2206
Phone (865) 426-7421

Other providers in Lake City, TN

All providers in Lake City, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.