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MICHAEL W NOBLE D.M.D.
NPI 1356331672
Dentist - Oral and Maxillofacial Surgery in Belleville, IL

Active since October 27, 2005Opted out of Medicare · through May 27, 2027
10200 W MAIN ST, BELLEVILLE, IL 62223(618) 397-2464(618) 398-4450 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2023, Jul 21, 2022, Dec 15, 2017 (3 updates tracked since 2017).

About Michael W Noble D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL W NOBLE D.M.D. (NPI 1356331672) is an individual oral and maxillofacial surgery provider in Belleville, Illinois, licensed in Illinois (019019361) and active in the NPI registry since October 2005. He has opted out of Medicare through May 27, 2027 and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1356331672
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMICHAEL W NOBLECredential: D.M.D.
Location Address10200 W MAIN STBelleville, IL 62223-1408
Mailing Address10200 W Main StBelleville, IL 62223-1408 · (618) 400-6725 · Fax (618) 500-6725
Phone(618) 397-2464
Fax(618) 398-4450
Sole ProprietorYes
Enumeration DateOctober 27, 2005
Last NPPES UpdateFebruary 20, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1356331672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in IL · 019019361✔ Licensed in MO · 14929
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
10200 W MAIN ST, Belleville, IL 62223
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Secondary Practice Location 1

Location 111710 Old Ballas Rd Ste 205Saint Louis, MO 63141-7076 · Phone (314) 866-6725 · Fax (314) 998-6725

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael W Noble D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 27, 2021 through May 27, 2027.

Opt-Out Effective DateMay 27, 2021
Opt-Out In Effect ThroughMay 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW PHILIP MONESTERO DDS
Dentist
10200 W MAIN ST
BELLEVILLE, IL 62223
St. Clair County (618) 397-2464
CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, P.C.
Oral & Maxillofacial Surgery
10200 W MAIN ST, SIGNAL HILL MEDICAL BLDG
BELLEVILLE, IL 62223
St. Clair County (618) 397-2464
FREDERICK GUSTAVE DDS
Dentist (Oral and Maxillofacial Surgery)
10200 W MAIN ST
BELLEVILLE, IL 62223
St. Clair County (618) 400-6725

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Noble's NPI number?

The NPI number for Michael Noble is 1356331672. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Michael Noble located?

Michael Noble practices at 10200 W Main St, Belleville, IL 62223. The listed phone number is (618) 397-2464.

What is Michael Noble's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Noble enrolled in Medicare?

No. Michael Noble has opted out of Medicare through May 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Michael Noble accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 6 other insurers list Michael Noble as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Noble was last updated on February 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.