Provider Demographics
NPI:1942615281
Name:HONIG, NOAH B (DMD)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:B
Last Name:HONIG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18903 CHAVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-2871
Mailing Address - Country:US
Mailing Address - Phone:914-494-6111
Mailing Address - Fax:
Practice Address - Street 1:16506 POINTE VILLAGE DR STE 101
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-5255
Practice Address - Country:US
Practice Address - Phone:813-906-5668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-25
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 207281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice