Individual
DR. WILLIAM MARK GABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
406 E THREE NOTCH ST, SUITE C, ANDALUSIA, AL 36420-3167
(334) 222-7648
(334) 222-9670
Mailing address
406 E THREE NOTCH ST, SUITE C, ANDALUSIA, AL 36420-3167
(334) 222-7648
(334) 222-9670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CS3500
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51092330
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
07/28/2006
Last updated
07/09/2007
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