Provider Demographics
NPI:1699922591
Name:NESTER, ASHLEY MATTHEWS (DDS)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MATTHEWS
Last Name:NESTER
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 1:6423 CANON WAY
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-3795
Mailing Address - Country:US
Mailing Address - Phone:804-642-4893
Mailing Address - Fax:
Practice Address - Street 1:6423 CANON WAY
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-3795
Practice Address - Country:US
Practice Address - Phone:804-642-4893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014126901223G0001X
CA586221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice