Ryan Nikodem, D.D.S.

General Practice Dentistry · Festus, MO

Individual Active NPI

NPI number 1538549134

Practice location

1121 W Gannon Dr
Festus, MO 63028-2602
Phone
(636) 937-9133

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NPI record

NPI
1538549134
Entity type
Individual (Type 1)
Enumeration date
June 9, 2015
Last updated
June 9, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2015015766 MO

Mailing address

10635 Forest Lawn Ct
Saint Louis, MO 63128-1549

About Dr. Nikodem

Ryan Nikodem, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1121 W Gannon Dr, Festus, MO 63028-2602. The NPI number 1538549134 was assigned on June 9, 2015 and the record was last updated on June 9, 2015.

Dr. Nikodem lists a license in the registry: #2015015766 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Nikodem, D.D.S.?

The NPI number is 1538549134.

What is the phone number of Dr. Nikodem?

The phone number listed for the practice location is (636) 937-9133.

Where is Dr. Nikodem located?

1121 W Gannon Dr, Festus, MO 63028-2602.

What is the taxonomy code for Dr. Nikodem?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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