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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