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Dr. Ian Alexander Niccum, DMD
General Practice Dentistry in Greenville, Wisconsin
NPI 1497481063

Ian Alexander Niccum is a General Practice Dentistry based in Appleton, WI and is specialized in General Practice. Ian Alexander Niccum practices in Greenville, WI and has the professional credentials of DMD. The NPI Number for Ian Alexander Niccum is 1497481063 and holds a License No. 6000061-15 (Wisconsin).

The current practice location address for Ian Alexander Niccum is N1734 Lily Of The Valley Dr, Greenville, WI and can be reached out via phone at 920-289-2440.

Location: N1734 Lily Of The Valley Dr, Greenville, WI, 54915-1026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497481063
Provider Name
Ian Alexander Niccum
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
N1734 Lily Of The Valley Dr, Greenville, WI, 54915-1026
Phone Number
920-289-2440
Fax Number
Provider Enumeration Date
07/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
N1734 Lily Of The Valley Dr
City
Greenville
State
Wisconsin
Zip
54942-9044
Phone Number
920-289-2440
Fax Number
person
Provider Business Mailing Address Details
Address
N1734 Lily Of The Valley Dr
City
Greenville
State
Wisconsin
Zip
54942-9044
Phone Number
920-289-2440
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6000061-15 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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