| Nikodem Dental Holdings, Inc. | |
|
2380 N Truman Blvd Crystal City MO 63019-1037 | |
| (636) 937-9193 | |
| Not Available |
| Full Name | Nikodem Dental Holdings, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2380 N Truman Blvd, Crystal City, Missouri |
| Authorized Official Name and Position | Hannah Meeks (AR SPECIALIST) |
| Authorized Official Contact | 3147324591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikodem Dental Holdings, Inc. 6220 S Lindbergh Blvd Ste 101 Saint Louis MO 63123-7839 Ph: (314) 732-4591 | Nikodem Dental Holdings, Inc. 2380 N Truman Blvd Crystal City MO 63019-1037 Ph: (636) 937-9193 |
| NPI Number | 1912651423 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912651423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Rediger Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 N Truman Blvd, Crystal City, MO 63019 Phone: 636-937-1441 Fax: 636-937-3768 |