NPI 1306789987

Noah William Booth

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Richmond, VA

Practice location

Address: 401 N 11th St, Richmond, VA 23219-1901
Phone: (804) 828-0602
Fax: (804) 593-4279
Mailing address: 1200 E Broad St, Richmond, VA 23298-5025

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 0442000581 (VA)

Other Oral & Maxillofacial Surgery providers in Virginia →

Registry record

NPI: 1306789987
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2026
Record last updated: 10 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.