Keith Andrew Nikodem in Saint Louis - Dentist
Keith Andrew Nikodem - NPI 1740317007
Keith Andrew Nikodem is a Dentist in Saint Louis, Missouri. Keith Andrew Nikodem practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keith Andrew Nikodem is 1740317007. The last update date is 2007-07-08.
Keith Andrew Nikodem's current location address is 4420 Lemay Ferry Rd, Saint Louis, Missouri. You can contact this provider via phone number 3144871515 and fax number 3144168322. The mailing address for Keith Andrew Nikodem is 4420 Lemay Ferry Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Andrew Nikodem |
|---|---|
| Address | 4420 Lemay Ferry Rd, Saint Louis, Missouri |
| Phone Number | 3144871515 |
| Fax Number | 3144168322 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1740317007 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4420 Lemay Ferry Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631291758 |
| Phone Number | 3144871515 |
| Fax Number | 3144168322 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2001024027 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Keith Andrew Nikodem by the Centers for Medicare & Medicaid Services (CMS)?
The Keith Andrew Nikodem has been assigned the NPI (National Provider Identifier) 1740317007. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Keith Andrew Nikodem located?
The Keith Andrew Nikodem is located at 4420 Lemay Ferry Rd, Saint Louis, MO 631291758.
What is Keith Andrew Nikodem's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keith Andrew Nikodem is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740317007 to Keith Andrew Nikodem?
The Centers for Medicare & Medicaid Services assigned the 1740317007 to Keith Andrew Nikodem on 2007-02-27.
As of what date were the details pertaining to Keith Andrew Nikodem last refreshed?
The information related to the Keith Andrew Nikodem, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1679570980
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