IndividualActive
Casey Goetz, DDS
NPI 1629502216 · Pediatric Dentistry · Troy, MO
Provider details
- NPI number
- 1629502216
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 09417 (IA)
Specialties & taxonomies
Dental Providers
Student, Health Care
Practice location
91 Troy Sq Ste 201
Troy, MO 63379-3228
Phone: (636) 383-4500
Fax: (636) 383-4501
Approximate (ZIP-level) locationGet directions
Mailing address
140 Twin Rivers Ct
Sartell, MN 56377-2015
Registry dates
- Enumerated
- 2017-04-20
- Last updated
- 2020-11-18
- Certified
- 2020-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.