Provider Demographics
NPI:1437411071
Name:RASMUSSEN, NICOLE TOOMEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:TOOMEY
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:MARIE
Other - Last Name:TOOMEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:4113 DEL PRADO BLVD S
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7164
Mailing Address - Country:US
Mailing Address - Phone:239-540-1117
Mailing Address - Fax:239-540-1119
Practice Address - Street 1:4113 DEL PRADO BLVD S
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7164
Practice Address - Country:US
Practice Address - Phone:239-540-1117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19712122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist