Organization · Type 2 NPI

Nikodem Dental Holdings, Inc.

Dental Clinic/Center · Hazelwood, MO

NPI number 1447904941 Active

Practice location

811 Hazelwest Dr
Hazelwood, MO 63042-1749

Call (314) 731-7555 Map

Mailing address

6220 S Lindbergh Blvd Ste 101
St. Louis, MO 63123-7839

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

4 other providers at this address

Other dental clinic/center providers in Hazelwood

Valudental Lindbergh LLCDental Clinic/Center Hazelwood, MO NPI 1043014814
Hebert Dmd, Brown DMD & Associates, Llc, dba Lifesmile Dental CareDental Clinic/Center Hazelwood, MO NPI 1447419684
Nikodem Dental CareDental Clinic/Center Hazelwood, MO NPI 1902207426

See all in Hazelwood →

NPI record

NPI: 1447904941
Entity type: Organization (Type 2)
Issued: Feb 4, 2022
Last updated: Apr 1, 2022
Status: Active
Subpart: Yes of Nikodem Dental Holdings, Inc.

Other names

<unavail>
Nikodem Dental Hazelwood · doing business as
Nikodem Dental Hazelwood · doing business as

Authorized official

Hannah Meeks
Ar Specialist
(618) 977-6931

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1447904941

Nikodem Dental Holdings, Inc.'s National Provider Identifier is 1447904941, issued on Feb 4, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hazelwood, MO. The record was last updated on Apr 1, 2022.