Provider Demographics
NPI:1528392263
Name:HIGGINBOTTOM, ERIK MILNE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:MILNE
Last Name:HIGGINBOTTOM
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Mailing Address - Street 1:556-A CYNWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601
Mailing Address - Country:US
Mailing Address - Phone:410-822-3626
Mailing Address - Fax:410-822-9520
Practice Address - Street 1:556-A CYNWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601
Practice Address - Country:US
Practice Address - Phone:410-822-3626
Practice Address - Fax:410-822-9520
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD140161223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics