| Kristin F. Nickodemus, Dds, Plc | |
|
1795 W Stadium Blvd Ann Arbor MI 48103-5290 | |
| (734) 769-4121 | |
| (734) 662-4156 |
| Full Name | Kristin F. Nickodemus, Dds, Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1795 W Stadium Blvd, Ann Arbor, Michigan |
| Authorized Official Name and Position | Kristin Francine Nickodemus (DENTIST) |
| Authorized Official Contact | 7347694121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin F. Nickodemus, Dds, Plc 1795 W Stadium Blvd Ann Arbor MI 48103-5290 Ph: (734) 769-4121 | Kristin F. Nickodemus, Dds, Plc 1795 W Stadium Blvd Ann Arbor MI 48103-5290 Ph: (734) 769-4121 |
| NPI Number | 1215481155 |
|---|---|
| Provider Enumeration Date | 08/09/2016 |
| Last Update Date | 08/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215481155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901017670 (Michigan) | Primary |
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