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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STEPHEN GERARD NIKODEM, DDS,.MS

Active Sole Proprietor

DR. STEPHEN GERARD NIKODEM, DDS,.MS is a Orthodontics healthcare provider located in SAINT LOUIS, Missouri. NPI 1700909991 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · SAINT LOUIS, MO

Registration Details

NPI Number
1700909991
Provider Type
Individual
Gender
Male
NPI Issued
Apr 10, 2007 (19.317402112122 yrs)
Last Updated
Jul 8, 2007
License
DE-015579 (MO)
Sole Proprietor
Yes

Practice Information

Address
4116 VON TALGE RD STE A
SAINT LOUIS, MO, 631281957
Browse MO providers · Browse ZIP 63128
Phone
3148941311
Fax
3148940710
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in SAINT LOUIS, MO

Name Credential NPI
DR. JULIE FAHL MCCRAY DDS, MS 1235129453
DR. GARY HOWARD SHANKER D.D.S 1063498020
DR. JOHN WILLIAM TABASH DDS 1790763506
DR. RICHARD JAMES NISSEN DDS, MS 1215046008
DR. MAZYAR MOSHIRI DMD 1093810202
DR. JONATHAN A SHANKER DDS 1427142728
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.