| Nikodem And Hill Family Dental And Ortho | |
|
200 Health Way Dr Ste 1 Potosi MO 63664-1447 | |
| (573) 438-2118 | |
| Not Available |
| Full Name | Nikodem And Hill Family Dental And Ortho |
|---|---|
| Speciality | Dentist |
| Location | 200 Health Way Dr Ste 1, Potosi, Missouri |
| Authorized Official Name and Position | Gerard Patrick Nikodem (SECRETARY) |
| Authorized Official Contact | 5734382118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikodem And Hill Family Dental And Ortho 200 Healthway Dr Ste 1 Washington MO 63664 Ph: (573) 438-2118 | Nikodem And Hill Family Dental And Ortho 200 Health Way Dr Ste 1 Potosi MO 63664-1447 Ph: (573) 438-2118 |
| NPI Number | 1679754790 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679754790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 014933 (Missouri) | Primary |
Edward William Lake Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 E High St, Potosi, MO 63664 Phone: 573-438-6277 |