Individual
DR. JOHN NIKODEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1121 W GANNON DR, FESTUS, MO 63028-2602
(636) 937-9133
Mailing address
1800 S BRENTWOOD BLVD APT 611, SAINT LOUIS, MO 63144-1846
(314) 954-3342
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2026023637
MO
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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