DR. IAN NICCUM, DMD

Dentist - General Practice

Active Individual
NPI: 1497481063

Practice Address

W6261 NEUBERT RD
Appleton, WI 54913

Phone: (920) 954-1110

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 6000061-15 (WI)

Frequently Asked Questions

NPI 1497481063 is the National Provider Identifier for DR. IAN NICCUM, DMD, a Dentist - General Practice provider located in Appleton, WI. This NPI was enumerated on July 26, 2022.
DR. IAN NICCUM, DMD practices at W6261 NEUBERT RD, Appleton, WI 54913.

Quick Facts

NPI
1497481063
Type
Individual
Enumerated
Jul 26, 2022
Last Updated
Apr 14, 2025

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