Stephen G. Nikodem Dds Ms Pc
Specialty details in registry · Saint Louis, MO
At a glance
4116 Von Talge Rd, Saint Louis, MO 63128-1957
NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
4116 Von Talge Rd Ste ASaint Louis, MO 63128-1957
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 1223X0400X
- Enumeration date
- Apr 10, 2007
- Record updated
- Aug 22, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
1223X0400X · Primary
License reported: DE015579 MO
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4116 Von Talge RdSte A
Saint Louis, MO 63128-1957
- Phone
- (314) 894-1311
- Fax
- (314) 894-0710
Mailing address
4116 VON TALGE RDSTE A
SAINT LOUIS, MO 631281957
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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