Individual
DR. STEPHEN GERARD NIKODEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,.MS
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
DE-015579
MO
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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