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:
Health care specialties
| Specialty | Code | License # | 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 17 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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