NIKODEM DENTAL HOLDINGS INC. NPI 1326792839

NPI Information

  • NPI: 1326792839
  • Provider Name: NIKODEM DENTAL HOLDINGS, INC.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 3016 N KENTWOOD AVE # 4414
    SPRINGFIELD, MO
    ZIP 65803
  • Phone: (417) 833-1474

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NPI Details

NIKODEM DENTAL HOLDINGS, INC. is a dental clinic center in Springfield, MO. NIKODEM DENTAL HOLDINGS, INC. NPI is 1326792839. The provider is registered as an organization entity type.

The provider's business location address is:

3016 N KENTWOOD AVE # 4414
SPRINGFIELD, MO
ZIP 65803-414
Phone: (417) 833-1474

The provider's authorized official is Hannah Meeks .
The authorized official title is Ar Specialist and has the following contact phone number (618) 977-6931.

The enumeration date for this NPI number is 2/4/2022 and was last updated on 2/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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