Organization
STEPHEN G. NIKODEM DDS MS PC
Active
Organization
STEPHEN G. NIKODEM DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN GERARD NIKODEM DDSMS (ORTHODONTIST)
(314) 894-1311
Entity
Organization
Contact information
Practice address
4116 VON TALGE RD, STE A, SAINT LOUIS, MO 63128-1957
(314) 894-1311
(314) 894-0710
Mailing address
4116 VON TALGE RD, STE A, SAINT LOUIS, MO 63128-1957
(314) 894-1311
(314) 894-0710
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE015579
MO
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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