Provider Demographics
NPI:1699714097
Name:NOBILE, RICHARD PAUL (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PAUL
Last Name:NOBILE
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 1:417 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:LOCH ARBOUR
Mailing Address - State:NJ
Mailing Address - Zip Code:07711-1241
Mailing Address - Country:US
Mailing Address - Phone:732-531-5333
Mailing Address - Fax:732-531-5334
Practice Address - Street 1:417 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:LOCH ARBOUR
Practice Address - State:NJ
Practice Address - Zip Code:07711-1241
Practice Address - Country:US
Practice Address - Phone:732-531-5333
Practice Address - Fax:732-531-5334
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI012657011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice