DR. CHRISTOPHER E NOONAN DMD MD
Surgery Yellow Pages
Louisville, Kentucky
Provider NPI: 1700879095
Provider Information:DR. CHRISTOPHER E NOONAN DMD MD
Practice Location:
225 ABRAHAM FLEXNER WAY STE 302 LOUISVILLE, KY 40202 US
Tel: 502-587-7874 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 204E00000X | Physicians Oral & Maxillofacial Surgery | KY | MD-39508 |
Y | 1223S0112X | Dental Providers Dentist | KY | 7486 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
64098635 | KY | 05 | |
60003274 | KY | 05 | |
200521540 | IN | 05 | |
BCBS | 000000364871 | KY | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin