Jason L Cabler, DDS
Individual provider Active NPI General Practice Dentistry · Fairview, TN
NPI 1154416261 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154416261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS06982 (TN)
- Practice address
- 1696 Fairview Blvd
Ste 104
Fairview, TN 37062-5144 - Phone
- (615) 799-9234
- Fax
- (615) 799-9626
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS06982 | TN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS06982 | TN | Yes |
Addresses
Primary practice location
1696 Fairview Blvd
Ste 104
Fairview, TN 37062-5144
Mailing address
1696 Fairview Blvd
Ste 104
Fairview, TN 37062-5144
Phone (615) 799-9234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4038936 | Other | TN | BLUE CROSS BLUE SHOELD |
Other providers in Fairview, TN
- Boulevard Dental PLLC
- George Alexander Bragg
- Breanna M Barnes DMD PLLC
- Sydney Brooks
- Linda C Burgess
- Shelbi Breanne Cameron
- Erin Castellaw
- Centerstone
- Amanda Clark
- Teresa Marie Clark
All providers in Fairview, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.