| Nikodem Dental Holdings, Inc. | |
|
3016 N Kentwood Ave # 4414 Springfield MO 65803-4414 | |
| (417) 833-1474 | |
| Not Available |
| Full Name | Nikodem Dental Holdings, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3016 N Kentwood Ave # 4414, Springfield, Missouri |
| Authorized Official Name and Position | Hannah Meeks (AR SPECIALIST) |
| Authorized Official Contact | 6189776931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikodem Dental Holdings, Inc. 6220 S Lindbergh Blvd Ste 101 Saint Louis MO 63123-7839 Ph: (314) 732-4591 | Nikodem Dental Holdings, Inc. 3016 N Kentwood Ave # 4414 Springfield MO 65803-4414 Ph: (417) 833-1474 |
| NPI Number | 1326792839 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326792839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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