Individual provider · Type 1 NPI

Stephen Gerard Nikodem, DDS, .MS

Orthodontics and Dentofacial Orthopedics Dentistry · St. Louis, MO

NPI number 1700909991 Active

Practice location

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

Call (314) 894-1311 Map

Fax (314) 894-0710

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDE-015579 (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 1700909991

Stephen Gerard Nikodem, DDS, .MS's National Provider Identifier is 1700909991, issued on Apr 10, 2007. 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 Jul 8, 2007.