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Casey Goetz, DDS
Pediatric Dentist in Troy, Missouri
NPI 1629502216

Casey Goetz is a Pediatric Dentist based in Sartell, MO and is specialized in Pediatric Dentistry. Casey Goetz practices in Troy, MO and has the professional credentials of DDS. The NPI Number for Casey Goetz is 1629502216 and holds a License No. 09417 (Missouri).

The current practice location address for Casey Goetz is 91 Troy Sq Ste 201, Troy, MO and can be reached out via phone at 636-383-4500 and via fax at 636-383-4501.

Location: 91 Troy Sq Ste 201, Troy, MO, 56377-2015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629502216
Provider Name
Casey Goetz
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
91 Troy Sq Ste 201, Troy, MO, 56377-2015
Phone Number
636-383-4500
Fax Number
636-383-4501
Provider Enumeration Date
04/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
91 Troy Sq Ste 201
City
Troy
State
Missouri
Zip
63379-3228
Phone Number
636-383-4500
Fax Number
636-383-4501
person
Provider Business Mailing Address Details
Address
91 Troy Sq Ste 201
City
Troy
State
Missouri
Zip
63379-3228
Phone Number
636-383-4500
Fax Number
636-383-4501
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DDS-09417 (Iowa)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
09417 (Iowa)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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