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Keith Nikodem, DDS
NPI 1740317007 · on the registry since 2007
Practice
- Address
- 4420 Lemay Ferry Rd
Saint Louis, MO 63129 - Phone
- (314) 487-1515
- Fax
- (314) 416-8322
- Organisation at this address
- Nikodem Dental Holdings, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri