Provider Demographics
NPI:1962592931
Name:SABLE, ROB E (DDS)
Entity type:Individual
Prefix:DR
First Name:ROB
Middle Name:E
Last Name:SABLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2880 HOLCOMB BRIDGE RD
Mailing Address - Street 2:B-22
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1609
Mailing Address - Country:US
Mailing Address - Phone:770-992-4969
Mailing Address - Fax:770-993-0174
Practice Address - Street 1:2880 HOLCOMB BRIDGE RD
Practice Address - Street 2:B-22
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1609
Practice Address - Country:US
Practice Address - Phone:770-992-4969
Practice Address - Fax:770-993-0174
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GADN0099671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice