Provider Demographics
NPI:1689744419
Name:GABLE, WILLIAM E (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:GABLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:ELLIS
Other - Last Name:GABLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:9855 ERMA ROAD
Mailing Address - Street 2:SUITE 138
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131
Mailing Address - Country:US
Mailing Address - Phone:858-549-9688
Mailing Address - Fax:858-549-7103
Practice Address - Street 1:9855 ERMA ROAD
Practice Address - Street 2:SUITE 138
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131
Practice Address - Country:US
Practice Address - Phone:858-549-9688
Practice Address - Fax:858-549-7103
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24290122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist