Individual provider · Type 1 NPI

Stephen Mark Nikodem, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · St. Louis, MO

NPI number 1306541305 Active

Practice location

4116 Von Talge Rd Ste A
St. Louis, MO 63128-1957

Mailing address

134 Frontenac Frst
St. Louis, MO 63131-3220

Other practice locations

  • 1119 W Gannon Dr, Festus, MO 63028-2602 · (636) 931-4233

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X2023021406 (MO)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1306541305

Stephen Mark Nikodem, DDS's National Provider Identifier is 1306541305, issued on Mar 31, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in St. Louis, MO. The record was last updated on Aug 5, 2026.