Eastham, Nicole Elizabeth

Eastham, Nicole Elizabeth is an individual health care provider with primary practice located at 9510 Bonita Beach Rd Se Suite 101, Bonita Springs FL 34135-4699. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Eastham, Nicole Elizabeth can be contacted via phone (610) 657-1329.

Contact Information

Primary practice address
9510 Bonita Beach Rd Se Suite 101 Bonita Springs FL 34135-4699
Phone: (610) 657-1329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X RESIDENCYPERMIT:1053 Florida
Dental Providers / Pediatric Dentistry 1223P0221X DN20011 Florida

Profile Details

NPI number 1699039867
LBN Legal business name Eastham, Nicole Elizabeth
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2012
Last updated Sep 14th, 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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