Provider Demographics
NPI:1912344433
Name:HAMBY, ELIZABETH SHANLEY LESTINI (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SHANLEY LESTINI
Last Name:HAMBY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11209 TRESCOTT CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-9352
Mailing Address - Country:US
Mailing Address - Phone:919-522-1207
Mailing Address - Fax:
Practice Address - Street 1:2104 SMALLWOOD DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1320
Practice Address - Country:US
Practice Address - Phone:919-821-2454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC95241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice