Individual provider · Type 1 NPI

Nicole Elizabeth Eastham, DMD

Pediatric Dentistry · Bonita Springs, FL

NPI number 1699039867 Active

Practice location

9510 Bonita Beach Rd SE, Suite 101
Bonita Springs, FL 34135-4699

Mailing address

20506 Black Tree Ln
Estero, FL 33928-6460

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XRESIDENCYPERMIT:1053 (FL)
Pediatric Dentistry Primary 1223P0221XDN20011 (FL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

6 other providers at this address

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About NPI 1699039867

Nicole Elizabeth Eastham, DMD's National Provider Identifier is 1699039867, issued on Jul 2, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bonita Springs, FL. The record was last updated on Sep 14, 2016.