Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740317007 Individual Practitioner Male Practitioner

Dr. Keith Andrew Nikodem , DDS

Dentist • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Dr. Keith Nikodem, DDS is a registered healthcare professional specializing in Dentist in Saint Louis, MO. Practice services are available at 4420 LEMAY FERRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4420 Lemay Ferry Rd

Saint Louis, MO 631291758

Telephone 3144871515
Fax 3144168322
Associated Practice Facility / Clinic
🏢 Nikodem Dental Holdings, Inc. Facility NPI 1649924150

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
230 Specialists

Practicing in Saint Louis, MO (1740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MO 2001024027

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4420 LEMAY FERRY RD, SAINT LOUIS, MO 631291758 (Tel: 3144871515)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4420 LEMAY FERRY RD, SAINT LOUIS, MO 631291758 (Tel: 3144871515)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEITH NIKODEM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2001024027 in MO)

🟢
Initial NPI Registration & Enumeration February 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740317007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4420 Lemay Ferry Rd

Saint Louis, MO 631291758

Phone: 3144871515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.