Provider Demographics
NPI:1447360953
Name:TODD NOBLIN DDS PC
Entity type:Organization
Organization Name:TODD NOBLIN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:NOBLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:931-473-7888
Mailing Address - Street 1:205 DONNELL ST
Mailing Address - Street 2:
Mailing Address - City:MC MINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-2541
Mailing Address - Country:US
Mailing Address - Phone:931-473-7888
Mailing Address - Fax:931-473-9993
Practice Address - Street 1:205 DONNELL ST
Practice Address - Street 2:
Practice Address - City:MC MINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2541
Practice Address - Country:US
Practice Address - Phone:931-473-7888
Practice Address - Fax:931-473-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty