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Active NPI 1548648967 Organization (Entity Type 2)

E David Noh Pc

Dentist - General Practice • Onarga, IL

About E David Noh Pc NPI 1548648967 Summary

E David Noh Pc is a verified healthcare organization specializing in Dentist - General Practice operating in Onarga, IL. Located at 109 N CHESTNUT ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1548648967.

Administrative operations and authorized compliance are overseen by Eunjoon Noh (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

109 N Chestnut St

Onarga, IL 609551255

Telephone 8152680033
Fax 8152680034

Authorized Official Information

Authorized Contact Name

Eunjoon Noh , DMD

Title / Role

Owner

Official Telephone

8152680033

Facility Classifications & Specialties

Dentist - General Practice Primary Taxonomy

NUCC Taxonomy Code: 1223G0001X

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active May 18, 2015

NPI status registered as active in NPPES database

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Updated Practice Location May 18, 2015

Registered at 109 N CHESTNUT ST, ONARGA, IL 609551255 (Tel: 8152680033)

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Updated Business Mailing Address May 18, 2015

Registered at 109 N CHESTNUT ST, ONARGA, IL 609551255 (Tel: 8152680033)

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Organization / Clinic Name Updated May 18, 2015

Operating as E DAVID NOH PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2015

Dentist (License #019029508 in IL)

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Initial NPI Registration & Enumeration May 18, 2015

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1548648967
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: May 18, 2015
Last Update: May 18, 2015

Mailing Address

109 N Chestnut St

Onarga, IL 609551255

Phone: 8152680033

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.