Cuivre Creek Pediatric Dentistry
Organization Active NPI Pediatric Dentistry · Troy, MO
NPI 1760161913 · NPPES record last updated Jul 14, 2023
Key facts
- NPI
- 1760161913
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- CUIVRE CREEK PEDIATRIC DENTISTRY
- Practice address
- 91 Troy SQ Ste 201
Troy, MO 63379-3228 - Phone
- (636) 383-4500
- NPI assigned
- Jul 14, 2023
- Organization subpart
- No
Authorized official
- Name
- Casey S Goetz, DDS
- Title
- Owner Dentist
- Phone
- (641) 425-7279
Practitioners 1
-
Casey Goetz, DDS
National Provider Directory
Locations
91 Troy Sq
Ste 201
Troy, MO 63379
Phone (636) 383-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
91 Troy SQ Ste 201
Troy, MO 63379-3228
Mailing address
91 Troy SQ Ste 201
Troy, MO 63379-3228
Phone (636) 383-4500
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.