Skip Navigation

Provider Information for 1528086188



DR. JOHN DAVID NOYES JR. DDS

Gender: MALE

Individual NPI: 1528086188

Calendar Last Updated: 2007-07-09

Details

Name Value
NPI 1528086188
Enumeration Date 2006-07-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 6211 4TH ST NW STE 13
ALBUQUERQUE, NM 87107-5762
United States

Phone: 505-821-5437 | Fax:
View Map External Link
Primary Practice Address 6211 4TH ST NW STE 13
ALBUQUERQUE, NM 87107-5762
United States

Phone: 505-821-5437 | Fax:
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NM DD2523
Other Identifiers
Issuer State Number
Other UNITED CONCORDIA GROUP # NM 1768244
MEDICAID NM 57459568
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location