Provider Demographics
NPI:1093920738
Name:NESBETT, RICHARD B (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:B
Last Name:NESBETT
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 1:6688 RIDGE RD
Mailing Address - Street 2:SUITE 1225
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5706
Mailing Address - Country:US
Mailing Address - Phone:440-886-2777
Mailing Address - Fax:440-886-5411
Practice Address - Street 1:6688 RIDGE RD
Practice Address - Street 2:SUITE 1225
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5706
Practice Address - Country:US
Practice Address - Phone:440-886-2777
Practice Address - Fax:440-886-5411
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH215171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice