Organization
NICHOLAS P KAMAKAS, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS P KAMAKAS (OWNER)
(314) 727-7435
Entity
Organization
Contact information
Practice address
1167 REMLEY CT, SAINT LOUIS, MO 63130-2135
(314) 727-7435
(314) 727-7003
Mailing address
1167 REMLEY CT, SAINT LOUIS, MO 63130-2135
(314) 727-7435
(314) 727-7003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
010913
MO
1223G0001X
General Practice Dentistry
Primary
12839
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400367900
—
MO
05
—
403293921
—
MO
05
—
408996403
—
MO
Enumeration date
04/11/2008
Last updated
03/24/2015
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