Casey N Niekamp

NPI #1508396375 in Wentzville, Missouri

Provider Information

NPI Number: 1508396375
Entity Type: Individual
Name: Casey N Niekamp
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 14, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1849 WENTZVILLE PKWY
City: Wentzville
State: Missouri
ZIP Code: 63385-3896
Phone: (636) 639-1720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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