Individual provider · Type 1 NPI

Eleisha Jean Nickoles, D.D.S

Dentist · Jefferson City, TN

NPI number 1053400309 Active

Practice location

1413 Russell Ave
Jefferson City, TN 37760-2562

Call (865) 471-5525 Map

Fax (865) 471-5526

Mailing address

370 Leeper Overlook
Dandridge, TN 37725-5073

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X12971 (TN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1053400309

Eleisha Jean Nickoles, D.D.S's National Provider Identifier is 1053400309, issued on Oct 12, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Jefferson City, TN. The record was last updated on Aug 19, 2026.