DR. Gerard Patrick Nikodem, DDS

NPI #1164689303 in Festus, Missouri

Provider Information

NPI Number: 1164689303
Entity Type: Individual
Name: DR. Gerard Patrick Nikodem, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 16, 2008
Last Updated: May 16, 2008

Practice Location

Address: 1121 W GANNON DR
City: Festus
State: Missouri
ZIP Code: 63028
Phone: (636) 937-9133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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