Provider Demographics
NPI:1154416261
Name:CABLER, JASON L (DDS)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:L
Last Name:CABLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1696 FAIRVIEW BLVD
Mailing Address - Street 2:STE 104
Mailing Address - City:FAIRVIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37062-5144
Mailing Address - Country:US
Mailing Address - Phone:615-799-9234
Mailing Address - Fax:615-799-9626
Practice Address - Street 1:1696 FAIRVIEW BLVD
Practice Address - Street 2:STE 104
Practice Address - City:FAIRVIEW
Practice Address - State:TN
Practice Address - Zip Code:37062-5144
Practice Address - Country:US
Practice Address - Phone:615-799-9234
Practice Address - Fax:615-799-9626
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS069821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4038936OtherBLUE CROSS BLUE SHOELD