Individual
DR. STEPHEN MARK NIKODEM
Active
Individual
DR. STEPHEN MARK NIKODEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2023021406
MO
1223G0001X
General Practice Dentistry
Primary
DN123946
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2023021406
MO
Other
Enumeration date
03/31/2023
Last updated
08/05/2026
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