Provider Demographics
NPI:1235154188
Name:CABLE, KAREN LYNNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LYNNE
Last Name:CABLE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1199 COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1900
Mailing Address - Country:US
Mailing Address - Phone:717-652-8150
Mailing Address - Fax:717-652-8176
Practice Address - Street 1:1199 COLONIAL RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1900
Practice Address - Country:US
Practice Address - Phone:717-652-8150
Practice Address - Fax:717-652-8176
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028117L1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA769961OtherUNITED CONCORDIA