Provider Demographics
NPI:1538802699
Name:NOEI, MEHDI
Entity type:Individual
Prefix:DR
First Name:MEHDI
Middle Name:
Last Name:NOEI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-2150
Mailing Address - Country:US
Mailing Address - Phone:514-432-3861
Mailing Address - Fax:
Practice Address - Street 1:1 PLACE NOTRE DAME
Practice Address - Street 2:
Practice Address - City:SAINT JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-2521
Practice Address - Country:US
Practice Address - Phone:802-748-9357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-17
Last Update Date:2022-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0160134064122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist