Search › Wisconsin › 1223G0001X
Ian Niccum, DMD
NPI 1497481063 · on the registry since 2022
Practice
- Address
- W6261 Neubert Rd
Appleton, WI 54913 - Phone
- (920) 954-1110
- Clinicians at this address
- 3
Additional practice sites
- N1734 Lily Of The Valley Dr, Greenville, WI
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin