Derek R. Noonan, Dmd, Llc | |
270 Sparta Ave Suite 209 Sparta NJ 07871-1122 | |
(973) 729-3222 | |
(973) 729-6143 |
Full Name | Derek R. Noonan, Dmd, Llc |
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Speciality | Dentist - General Practice |
Location | 270 Sparta Ave, Sparta, New Jersey |
Authorized Official Name and Position | Derek Robert Noonan (OWNER) |
Authorized Official Contact | 9737293222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Derek R. Noonan, Dmd, Llc 270 Sparta Ave Suite 209 Sparta NJ 07871-1122 Ph: (973) 729-3222 | Derek R. Noonan, Dmd, Llc 270 Sparta Ave Suite 209 Sparta NJ 07871-1122 Ph: (973) 729-3222 |
NPI Number | 1134334428 |
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Provider Enumeration Date | 05/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1134334428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 21555 (New Jersey) | Primary |
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