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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICOLET DEROSE, D.D.S

Active

DR. NICOLET DEROSE, D.D.S is a Pediatric Dentistry healthcare provider located in RACINE, Wisconsin. NPI 1194892166 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · RACINE, WI

Registration Details

NPI Number
1194892166
Provider Type
Individual
Gender
Female
NPI Issued
Nov 29, 2006 (19.726678817392 yrs)
Last Updated
Jul 8, 2007
License
2362 (WI)

Practice Information

Address
316 5TH ST
RACINE, WI, 534034606
Browse WI providers · Browse ZIP 53403
Phone
2625348662
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in RACINE, WI

Name Credential NPI
DR. JENNIFER A QUIZON DDS 1235264623
DR. JAY M OKSIUTA DDS 1841325230
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.