Individual provider · Type 1 NPI
Casey Goetz, DDS
Pediatric Dentistry · Troy, MO
NPI number
1629502216
Active
Practice location
91 Troy Sq Ste 201
Troy, MO 63379-3228
Fax (636) 383-4501
Mailing address
140 Twin Rivers Ct
Sartell, MN 56377-2015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 09417 (IA) |
| Pediatric Dentistry Primary | 1223P0221X | DDS-09417 (IA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
About NPI 1629502216
Casey Goetz, DDS's National Provider Identifier is 1629502216, issued on Apr 20, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Troy, MO. The record was last updated on Nov 18, 2020.