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 provides 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 Not confirmed with CMS for 10 years — call before visiting
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