Provider Demographics
NPI:1952316820
Name:DR. STEVEN A. NESBITT, D.D.S., P.C.
Entity Type:Organization
Organization Name:DR. STEVEN A. NESBITT, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:NESBITT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:269-968-9923
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:49015-4461
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:49015-4461
Practice Address - Country:US
Practice Address - Phone:269-968-9923
Practice Address - Fax:269-969-3995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty