Individual
DR. ELEISHA JEAN NICKOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1320 NATIONAL RD, WHEELING, WV 26003-5706
(304) 242-8600
(304) 242-8665
Mailing address
1320 NATIONAL RD, WHEELING, WV 26003-5706
(304) 242-8600
(304) 242-8665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30-022488
OH
1223G0001X
General Practice Dentistry
Primary
3669
WV
1223G0001X
General Practice Dentistry
DS036509
PA
Other
Enumeration date
10/12/2006
Last updated
01/06/2022
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