Individual
TRAVIS NESBITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
548 WILLIAMSON RD STE 1, MOORESVILLE, NC 28117-9111
(845) 943-8335
Mailing address
548 WILLIAMSON RD STE 1, MOORESVILLE, NC 28117-9111
(845) 943-8335
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11234
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2015
Last updated
04/24/2022
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