Provider Demographics
NPI:1386489128
Name:PRICE, NOAH MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:NOAH
Middle Name:MICHAEL
Last Name:PRICE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4710 BETHESDA AVE APT 411
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-7214
Mailing Address - Country:US
Mailing Address - Phone:425-582-1267
Mailing Address - Fax:
Practice Address - Street 1:8955 WOOD RD.
Practice Address - Street 2:BUILDING 1, FOURTH FLOOR
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889
Practice Address - Country:US
Practice Address - Phone:301-295-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401419052122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist