| Nikodem Dental Care | |
|
811 Hazelwest Dr Hazelwood MO 63042-1749 | |
| (314) 731-7555 | |
| (314) 731-7562 |
| Full Name | Nikodem Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 811 Hazelwest Dr, Hazelwood, Missouri |
| Authorized Official Name and Position | Charles Daniel Hurley (DENTIST) |
| Authorized Official Contact | 3147317555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikodem Dental Care 811 Hazelwest Dr Hazelwood MO 63042-1749 Ph: (314) 731-7555 | Nikodem Dental Care 811 Hazelwest Dr Hazelwood MO 63042-1749 Ph: (314) 731-7555 |
| NPI Number | 1902207426 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902207426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2014015546 (Missouri) | Primary |
Mcleod Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5992 Howdershell Rd, Suite 204, Hazelwood, MO 63042 Phone: 314-731-1700 Fax: 314-731-1784 | |
Joseph F. Kallial, D.m.d. Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5960 Howdershell Rd, Suite 202, Hazelwood, MO 63042 Phone: 314-731-5155 Fax: 314-731-2321 | |
Hebert Dmd, Brown Dmd & Associates, Llc, Dba Lifesmile Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8430 Pershall Rd, Hazelwood, MO 63042 Phone: 314-521-5678 Fax: 314-521-0283 | |
Nikodem Dental Hazelwood Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Hazelwest Dr, Hazelwood, MO 63042 Phone: 314-731-7555 | |
St.louis Center For Aesthetic And Restor. Dentistry/lindbergh Smile Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7934 N Lindbergh Blvd, Hazelwood, MO 63042 Phone: 314-831-8086 | |
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