Nikodem, Stephen Gerard

Nikodem, Stephen Gerard is an sole proprietor health care provider with primary practice located at 4116 Von Talge Rd Ste A , Saint Louis MO 63128-1957. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Nikodem, Stephen Gerard can be contacted via phone (314) 894-1311.

Contact Information

Primary practice address
4116 Von Talge Rd Ste A Saint Louis MO 63128-1957
Phone: (314) 894-1311
Fax: (314) 894-0710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DE-015579 Missouri

Profile Details

NPI number 1700909991
LBN Legal business name Nikodem, Stephen Gerard
Credentials DDS,.MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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