Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristin F. Nickodemus, DDS, PLC

Organization General Practice Dentistry · NPI 1215481155

Kristin F. Nickodemus, DDS, PLC is a General Practice Dentistry in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

1795 W Stadium Blvd
Ann Arbor, MI 48103-5290
Phone: (734) 769-4121
Fax: (734) 662-4156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901017670 (MI)

Record details

NPI number1215481155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Nickodemus — Dentist · (734) 769-4121
NPI enumeratedAugust 9, 2016
Last updated in NPPESAugust 9, 2016
Mailing address1795 W Stadium Blvd, Ann Arbor, MI 48103-5290

Other providers in Ann Arbor