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NIKODEM DENTAL CARE
NPI 1902207426
Clinic/Center - Dental in Hazelwood, MO

Active since September 16, 2014
811 HAZELWEST DR, HAZELWOOD, MO 63042(314) 731-7555(314) 731-7562 Get Directions Write a Review

NPPES record last updated: September 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nikodem Dental Care NPPES

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

NIKODEM DENTAL CARE (NPI 1902207426) is a healthcare organization registered as a dental in Hazelwood, Missouri and active in the NPI registry since September 2014. The organization lists Charles Daniel Hurley, Dentist, as its authorized official.

NPPES Registry Identity

NPI1902207426
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNIKODEM DENTAL CARE
Location Address811 HAZELWEST DRHazelwood, MO 63042-1749
Mailing Address811 Hazelwest DrHazelwood, MO 63042-1749 · (314) 731-7555 · Fax (314) 731-7562
Phone(314) 731-7555
Fax(314) 731-7562
Organization SubpartNo
Authorized OfficialCharles Daniel HurleyDentist · (314) 731-7555
Enumeration DateSeptember 16, 2014
✔ NPI 1902207426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MO · 2014015546
811 HAZELWEST DR, Hazelwood, MO 63042
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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.

DR. MONROE MITCHELL GINSBURG DMD
Dentist (General Practice)
811 HAZELWEST DR
HAZELWOOD, MO 63042
St. Louis County (314) 731-7555
MDP OF MISSOURI LLC
Dentist (General Practice)
811 HAZELWEST DR
HAZELWOOD, MO 63042
St. Louis County (314) 731-7555
DR. JORDAN BRUNS DMD
Dentist (General Practice)
811 HAZELWEST DR
HAZELWOOD, MO 63042
St. Louis County (314) 731-7555
NIKODEM DENTAL HOLDINGS, INC.
Clinic/Center (Dental)
811 HAZELWEST DR
HAZELWOOD, MO 63042
St. Louis County (314) 731-7555

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 Nikodem Dental Care's NPI number?

The NPI number for Nikodem Dental Care is 1902207426. It was assigned to this organization in the NPPES registry on September 16, 2014.

Where is Nikodem Dental Care located?

Nikodem Dental Care is located at 811 Hazelwest Dr, Hazelwood, MO 63042. The listed phone number is (314) 731-7555.

What is Nikodem Dental Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Nikodem Dental Care was last updated on September 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.