| Stephen G. Nikodem Dds Ms Pc | |
|
4116 Von Talge Rd Ste A Saint Louis MO 63128-1957 | |
| (314) 894-1311 | |
| (314) 894-0710 |
| Full Name | Stephen G. Nikodem Dds Ms Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4116 Von Talge Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Stephen Gerard Nikodem (ORTHODONTIST) |
| Authorized Official Contact | 3148941311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen G. Nikodem Dds Ms Pc 4116 Von Talge Rd Ste A Saint Louis MO 63128-1957 Ph: (314) 894-1311 | Stephen G. Nikodem Dds Ms Pc 4116 Von Talge Rd Ste A Saint Louis MO 63128-1957 Ph: (314) 894-1311 |
| NPI Number | 1275656480 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275656480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE015579 (Missouri) | Primary |
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