P Praxis·MD
● Active Type 1 · Individual

DR. Stephen Mark Nikodem, DDS

Dentist·Blue Ridge, GA· NPI 1306541305 · Enumerated 2023 · 3 years on NPI
Nikodem is 1 of 11 dentist providers in Blue Ridge and 1 of 4309 in Georgia.
NPI age
3 years
Enumerated 2023-03-31
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
3 years
↓ 15 yr below median (18 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-03Enumerated in NPPES
2023 2026

Where they practice

Practice location
330 Progress Cir Ste C
Blue Ridge, GA 305136262
📞 6783650322
Mailing address
134 Frontenac Frst
Saint Louis, MO 631313220
📞 3144021168

Specialties

  • Dentist Primary
    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.
    GA license #DN123946MO license #2023021406 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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