Nikodem Dental Holdings | |
4337 Butler Hill Rd Suite G St Louis Mo MO 63128 | |
(314) 892-2000 | |
(314) 892-4550 |
Full Name | Nikodem Dental Holdings |
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Speciality | Dentist - General Practice |
Location | 4337 Butler Hill Rd Suite G, St Louis Mo, Missouri |
Authorized Official Name and Position | Raymond G Nikodem (PRESIDENT) |
Authorized Official Contact | 3147324591 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nikodem Dental Holdings 4337 Butler Hill Rd Suite L St Louis MO 63128 Ph: (314) 732-4591 | Nikodem Dental Holdings 4337 Butler Hill Rd Suite G St Louis Mo MO 63128 Ph: (314) 892-2000 |
NPI Number | 1326504655 |
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Provider Enumeration Date | 02/12/2019 |
Last Update Date | 02/12/2019 |
Identifier | Type | State | Issuer |
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1326504655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |