Provider Demographics
NPI:1366575060
Name:NOACK, HOWARD MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:MICHAEL
Last Name:NOACK
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:PO BOX 436
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55307-0436
Mailing Address - Country:US
Mailing Address - Phone:507-964-2748
Mailing Address - Fax:
Practice Address - Street 1:503 W. MAIN ST.
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MN
Practice Address - Zip Code:55307-0436
Practice Address - Country:US
Practice Address - Phone:507-964-2748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND7453122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist