Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL KEVIN SIMONETTI
Active Sole ProprietorMICHAEL KEVIN SIMONETTI is a General Dentistry healthcare provider located in GUADALUPE, Arizona. NPI 1083361950 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GUADALUPE, AZ
Registration Details
- NPI Number
- 1083361950
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2022 (4.4394616082255 yrs)
- Last Updated
- Sep 20, 2023
- License
-
063487 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9405 S AVENIDA DEL YAQUIGUADALUPE, AZ, 852832529Browse AZ providers · Browse ZIP 85283
- Phone
- 4807682000
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.