DR. ELEISHA JEAN NICKOLES D.D.S NPI 1053400309

NPI Information

NPI: 1053400309
Provider Name: DR. ELEISHA JEAN NICKOLES, D.D.S
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1320 NATIONAL RD
WHEELING, WV
ZIP 26003
Phone: (304) 242-8600
Get Directions

DR. Eleisha Jean Nickoles, D.D.S is a general practice dentist in Wheeling, WV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Eleisha Jean Nickoles, D.D.S NPI is 1053400309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1320 NATIONAL RD
WHEELING, WV
ZIP 26003-706
Phone: (304) 242-8600
Fax: (304) 242-8665

The enumeration date for this NPI number is 10/12/2006 and was last updated on 1/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	3669	WEST VIRGINIA	Yes
2	122300000X	Dentist		30-022488	OHIO	No
3	1223G0001X	Dentist	General Practice	DS036509	PENNSYLVANIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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