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DR. WILLIAM MARK GABLE DMD
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1902810336
Individual Registrant:DR. WILLIAM MARK GABLE DMD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
406 E THREE NOTCH ST SUITE C ANDALUSIA, AL 36420-3167 US
Tel: 334-222-7648 Fax: 334-222-9670
Tel: 334-222-7648 Fax: 334-222-9670
Contact information for business:
406 E THREE NOTCH ST SUITE C ANDALUSIA, AL 36420-3167 US
Tel: 334-222-7648 Fax: 334-222-9670
Tel: 334-222-7648 Fax: 334-222-9670
Registration Information:
NPI: 1902810336
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | AL | CS3500 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS & BLUE SHIELD | 51092330 | AL | 01 |
