OrganizationActive
Kristin F. Nickodemus, DDS, PLC
NPI 1215481155 · General Practice Dentistry · Ann Arbor, MI
Kristin F. Nickodemus, DDS, PLC is a General Practice Dentistry organization in Ann Arbor, MI (NPI 1215481155).
Provider details
- NPI number
- 1215481155
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kristin Nickodemus, Dentist(734) 769-4121
- License
- 2901017670 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1795 W Stadium Blvd
Ann Arbor, MI 48103-5290
Phone: (734) 769-4121
Fax: (734) 662-4156
Street-level locationGet directions
Mailing address
1795 W Stadium Blvd
Ann Arbor, MI 48103-5290
Registry dates
- Enumerated
- 2016-08-09
- Last updated
- 2016-08-09
Frequently asked questions
- What is Kristin F. Nickodemus, DDS, PLC's NPI number?
- Kristin F. Nickodemus, DDS, PLC's National Provider Identifier (NPI) is 1215481155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kristin F. Nickodemus, DDS, PLC?
- Kristin F. Nickodemus, DDS, PLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kristin F. Nickodemus, DDS, PLC located?
- Kristin F. Nickodemus, DDS, PLC's practice location on file with NPPES is 1795 W Stadium Blvd, Ann Arbor, MI 48103-5290.
- What is Kristin F. Nickodemus, DDS, PLC's phone number?
- The practice phone number listed in the NPPES registry for Kristin F. Nickodemus, DDS, PLC is (734) 769-4121.
- Who is the authorized official for Kristin F. Nickodemus, DDS, PLC?
- The authorized official listed on Kristin F. Nickodemus, DDS, PLC's NPPES record is Kristin Nickodemus, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kristin F. Nickodemus, DDS, PLC's NPI active?
- Yes — Kristin F. Nickodemus, DDS, PLC's NPI (1215481155) is active in the NPPES registry as of the last update on 2016-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.