Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Christopher E Noonan, DMDMD

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1700879095

Dr. Christopher E Noonan, DMDMD is a Maxillofacial Surgery in Louisville, Kentucky. Graduated from University of Louisville School of Medicine in 2002, 24 years ago. Practices with Kentuckiana Oral and Maxillofacial Surgery Assoc PSC, a 4-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
24
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

225 Abraham Flexner Way Ste 302
Louisville, KY 40202-1882
Phone: (502) 587-7874
Fax: (502) 587-0758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 7486 (KY)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence MD-39508 (KY)

Record details

NPI number1700879095
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDMD
Sole proprietorNo
NPI enumeratedAugust 23, 2005
Last updated in NPPESJune 12, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Kentuckiana Oral And Maxillofacial Surgery Assoc Psc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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