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KRISTIN F. NICKODEMUS, DDS, PLC
NPI 1215481155
Dentist - General Practice in Ann Arbor, MI

Active since August 09, 2016
1795 W STADIUM BLVD, ANN ARBOR, MI 48103(734) 769-4121(734) 662-4156 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristin F. Nickodemus, Dds, Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN F. NICKODEMUS, DDS, PLC (NPI 1215481155) is a healthcare organization registered as a general practice in Ann Arbor, Michigan and active in the NPI registry since August 2016. The organization lists Kristin Francine Nickodemus, Dentist, as its authorized official.

NPPES Registry Identity

NPI1215481155
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKRISTIN F. NICKODEMUS, DDS, PLC
Location Address1795 W STADIUM BLVDAnn Arbor, MI 48103-5290
Mailing Address1795 W Stadium BlvdAnn Arbor, MI 48103-5290 · (734) 769-4121 · Fax (734) 662-4156
Phone(734) 769-4121
Fax(734) 662-4156
Organization SubpartNo
Authorized OfficialKristin Francine NickodemusDentist · (734) 769-4121
Enumeration DateAugust 9, 2016
✔ NPI 1215481155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901017670
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1795 W STADIUM BLVD, Ann Arbor, MI 48103
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BONNIE PRITI PATEL D.D.S.
Dentist
1795 W STADIUM BLVD
ANN ARBOR, MI 48103
Washtenaw County (734) 761-2144
LIANE RACELIS DDS
Dentist
1795 W STADIUM BLVD
ANN ARBOR, MI 48103
Washtenaw County (734) 662-3222
DR. RICHARD HAN DDS
Dentist (General Practice)
1795 W STADIUM BLVD
ANN ARBOR, MI 48103
Washtenaw County (734) 769-4121
JUSTIN DISTELRATH
Dentist (General Practice)
1795 W STADIUM BLVD
ANN ARBOR, MI 48103
Washtenaw County (734) 677-8700
ANN ARBOR SMILES HADDOCK PLLC
Dentist
1795 W STADIUM BLVD
ANN ARBOR, MI 48103
Washtenaw County (734) 662-3222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin F. Nickodemus, Dds, Plc's NPI number?

The NPI number for Kristin F. Nickodemus, Dds, Plc is 1215481155. It was assigned to this organization in the NPPES registry on August 9, 2016.

Where is Kristin F. Nickodemus, Dds, Plc located?

Kristin F. Nickodemus, Dds, Plc is located at 1795 W Stadium Blvd, Ann Arbor, MI 48103. The listed phone number is (734) 769-4121.

What is Kristin F. Nickodemus, Dds, Plc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kristin F. Nickodemus, Dds, Plc was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.