Healthcare Provider Details

I. General information

NPI: 1710921028
Provider Name (Legal Business Name): DAVID SABLES D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 POINTVIEW CIR
MOUNT JULIET TN
37122
US

IV. Provider business mailing address

954 POINTVIEW CIR
MOUNT JULIET TN
37122
US

V. Phone/Fax

Practice location:
  • Phone: 615-554-8955
  • Fax: 615-370-3331
Mailing address:
  • Phone: 615-554-8955
  • Fax: 615-370-3331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberDPM000356
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberDPM000356
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License NumberDPM000356
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberDPM000356
License Number StateTN
# 5
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberDPM356
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: