RYAN NIKODEM, D.D.S

NPI: 1538549134 · Individual · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

1121 W GANNON DR
FESTUS, MO 63028-2602 Map ↗
Phone: 636-937-9133

Mailing Address

10635 FOREST LAWN CT
SAINT LOUIS, MO 63128-1549 Map ↗

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice (license: 2015015766, MO)

NPI Registration

Enumerated: 2015-06-09

Last CMS Update: 2015-06-09