DR. STEPHEN MARK NIKODEM DDS
NPI 1306541305
Dentist - General Practice in Blue Ridge, GA

Active since March 31, 2023
330 PROGRESS CIR STE C, BLUE RIDGE, GA 30513(678) 365-0322 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2025, Mar 31, 2023 (2 updates tracked since 2023).

About Dr. Stephen Mark Nikodem Dds NPPES

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

DR. STEPHEN MARK NIKODEM DDS (NPI 1306541305) is an individual general practice provider in Blue Ridge, Georgia, licensed in Georgia (DN123946) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1306541305
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STEPHEN MARK NIKODEMCredential: DDS
Location Address330 PROGRESS CIR STE CBlue Ridge, GA 30513-6262
Mailing Address134 Frontenac FrstSaint Louis, MO 63131-3220 · (314) 402-1168
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateOctober 13, 20252 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
NPI 1306541305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in GA · DN123946 Licensed in MO · 2023021406
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.

330 PROGRESS CIR STE C, Blue Ridge, GA 30513

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist
330 PROGRESS CIR STE C
BLUE RIDGE, GA 30513
Dentist (General Practice)
330 PROGRESS CIR STE C
BLUE RIDGE, GA 30513
Dentist
330 PROGRESS CIR STE C
BLUE RIDGE, GA 30513
Dentist (General Practice)
330 PROGRESS CIR STE C
BLUE RIDGE, GA 30513

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 Stephen Nikodem's NPI number?

The NPI number for Stephen Nikodem is 1306541305. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Stephen Nikodem located?

Stephen Nikodem practices at 330 Progress Cir Ste C, Blue Ridge, GA 30513. The listed phone number is (678) 365-0322.

What is Stephen Nikodem's specialty?

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

What insurance does Stephen Nikodem accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Stephen Nikodem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen Nikodem was last updated on October 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.