IndividualActive
Jeffrey Noll, D.D.S.
NPI 1114076049 · Dentist · Edwardsville, IL
Provider details
- NPI number
- 1114076049
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
114 N Kansas St
Edwardsville, IL 62025-1769
Phone: (618) 692-1449
Approximate (ZIP-level) locationGet directions
Mailing address
114 N Kansas St
Edwardsville, IL 62025-1769
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.