Provider Demographics
NPI:1184607756
Name:NESBITT, PAULA E (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:E
Last Name:NESBITT
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:DR
Other - First Name:PAULA
Other - Middle Name:E
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2106 CHARLOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1816
Mailing Address - Country:US
Mailing Address - Phone:615-320-7447
Mailing Address - Fax:615-320-7513
Practice Address - Street 1:2106 CHARLOTTE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1816
Practice Address - Country:US
Practice Address - Phone:615-320-7447
Practice Address - Fax:615-320-7513
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-28
Last Update Date:2015-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN53601223E0200X
FLDN196691223D0001X
VA04014126701223E0200X
DCDEN10008521223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223D0001XDental ProvidersDentistDental Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004708800Medicaid
TN3225803Medicaid
VA0401412670OtherVIRGINIA DENTAL LICENSE
VA1184607756Medicaid
TN5360OtherSTATE DENTAL LICENSE
DCDEN1000852OtherWASHINGTON D.C. DENTAL LICENSE
FLDN19669OtherFLORIDA LIMITED DENTAL LICENSE