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Contact Information

GERARD P NIKODEM, DDS
1121 W GANNON DR
FESTUS, MO63028
 Phone: 636-937-9133
 Fax: 636-937-3227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GERARD P NIKODEM · (Male)

NPI Number 1164689303
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/16/2008
Last updated 05/16/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 014933
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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