Noble Oral Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NOBLE ORAL SURGERY LLC

Practice address

817 Old York Rd Ste 106
Jenkintown, PA 19046-1623

Phone

(267) 691-0011

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Jason Brody

Title

Credentialing Manager

Phone

(267) 494-1483

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1649039967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GEIGER RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 OLD YORK RD STE 106",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461623",
            "telephone_number": "267-691-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "267-494-1483"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Rose Nguyen, PHARMD
• Khoa Nguyen, DDS
• Monica Anh Hong Nguyen
• Phuong Thanh Nguyen, PHARMD
• Hooshang M Nikoo, MD
• Ann Elizabeth Nolan, PMHNP-BC
• Northern Ophthalmic Associates
• Northland Hearing Centers, Inc.
• Mia Notarianni
• Christopher Michael Notte, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.