Provider Demographics
NPI:1023446473
Name:NOEL, CASI LYN (DMD)
Entity type:Individual
Prefix:DR
First Name:CASI
Middle Name:LYN
Last Name:NOEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4005 RADCLIFF CT
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-4636
Mailing Address - Country:US
Mailing Address - Phone:843-475-6033
Mailing Address - Fax:
Practice Address - Street 1:4005 RADCLIFF CT
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-4636
Practice Address - Country:US
Practice Address - Phone:843-475-6033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29467122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist