Provider Demographics
NPI:1740405695
Name:NESTING, HENRY M (DDS)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:M
Last Name:NESTING
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 1:4963 DE ZAVALA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2022
Mailing Address - Country:US
Mailing Address - Phone:210-699-9761
Mailing Address - Fax:210-699-0039
Practice Address - Street 1:4963 DE ZAVALA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2022
Practice Address - Country:US
Practice Address - Phone:210-699-9761
Practice Address - Fax:210-699-0039
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice