# NIKODEM DENTAL HOLDINGS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NIKODEM DENTAL HOLDINGS, INC.
- **Other names:** Nikodem Dental Springfield
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326792839
- **Legal business name:** NIKODEM DENTAL HOLDINGS, INC.
- **Authorized official:** HANNAH MEEKS (AR SPECIALIST)
- **Authorized official phone:** (618) 977-6931

## Contact information

- **Practice address:** 3016 N KENTWOOD AVE \# 4414, SPRINGFIELD, MO 65803-4414
- **Practice address phone:** (417) 833-1474
- **Mailing address:** 6220 S LINDBERGH BLVD STE 101, SAINT LOUIS, MO 63123-7839
- **Mailing address phone:** (314) 732-4591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2022
- **Last updated:** 02/04/2022