Provider Demographics
NPI:1922014950
Name:NESBITT, STEVEN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:NESBITT
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 1:475 COLUMBIA AVE E
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-5461
Mailing Address - Country:US
Mailing Address - Phone:269-968-9923
Mailing Address - Fax:269-969-3995
Practice Address - Street 1:475 COLUMBIA AVE E
Practice Address - Street 2:SUITE 5
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-5461
Practice Address - Country:US
Practice Address - Phone:269-968-9923
Practice Address - Fax:269-969-3995
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice