Nikodem and Hill Family Dental and Ortho

NPI #1679754790 in Potosi, Missouri

Provider Information

NPI Number: 1679754790
Entity Type: Organization
Organization Name: Nikodem and Hill Family Dental and Ortho
Subpart: Yes (part of a larger organization)
Parent Organization: NIKODEM AND HILL FAMILY DENTAL AND ORTHO
Primary Specialty: Dentist
Enumeration Date: Nov 16, 2007
Last Updated: Nov 16, 2007

Practice Location

Address: 200 HEALTH WAY DR STE 1
City: Potosi
State: Missouri
ZIP Code: 63664-1447
Phone: (573) 438-2118

Authorized Official

Name: DR. GERARD PATRICK NIKODEM, DDS
Title: SECRETARY
Phone: (573) 438-2118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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