Nesbitt, Melanie Shaw

Nesbitt, Melanie Shaw is an individual health care provider with primary practice located at 3285 Hacks Cross Rd Ste 101 , Memphis TN 38125-8945. She recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is her primary health care specialty. Nesbitt, Melanie Shaw can be contacted via phone (901) 759-0970.

Contact Information

Primary practice address
3285 Hacks Cross Rd Ste 101 Memphis TN 38125-8945
Phone: (901) 759-0970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 019029250 Illinois
Dental Providers / Dentist 122300000X DS0000009624 Tennessee
Dental Providers / Endodontics 1223E0200X DS0000009624 Tennessee
Dental Providers / Pediatric Dentistry 1223P0221X DS0000009624 Tennessee

Profile Details

NPI number 1457612541
LBN Legal business name Nesbitt, Melanie Shaw
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2012
Last updated Jul 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457612541 NPPES
Illinois MEDICAID 1533569
Illinois MEDICAID 1533569

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