DR. NICOLE M SIMONETTI (NPI# 1932364114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932364114 |
| Entity Type | Individual |
| Full Name | DR. NICOLE M SIMONETTI |
| Credential | DDS |
| Practice Address |
9000 W Wisconsin Ave M.s. 773 Wauwatosa WI 53226-4874 |
| Mailing Address |
9000 W Wisconsin Ave Wauwatosa WI 53226-4874 |
| Practice Telephone | 4142662044 |
| Practice Fax Number | 4142666189 |
| Mailing Telephone | 4142662044 |
| Mailing Fax Number | 4142666189 |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2008-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6285-015 | WI | Dental Providers |
| Street Address |
9000 W WISCONSIN AVE M.S. 773 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881177269 | Emily Pokorny | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2018-09-11 |
| 1992287924 | Dena Hackmaster | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2018-09-06 |
| 1619387156 | Amber Fortmann | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2014-05-06 |
| 1922424589 | Melissa Rose Bennetts | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2014-03-06 |
| 1174951115 | Laurie B Schaefgen | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2013-10-30 |
| 1942634043 | Michael John Masse | Pharmacist | 9000 W Wisconsin Ave, Suite 235, Wauwatosa, WI 53226-4874 | 2013-08-26 |
| 1033462445 | Anne Therese Helmer | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2012-10-23 |
| 1467705400 | Jacob Joseph Olson | Pharmacist | 9000 W Wisconsin Ave, Children's Clinics Bldg, Wauwatosa, WI 53226-4874 | 2012-10-15 |
| 1609131846 | Rachael Murray | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2012-07-12 |
| 1255617213 | Cortnee Booth | Pharmacist | 9000 W Wisconsin Ave, Suite 235, Wauwatosa, WI 53226-4874 | 2011-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396204418 | Travis Lepera | Dentist | 8915 W Connell Ave, Wauwatosa, WI 53226-3067 | 2019-03-18 |
| 1124031323 | Dennis Moore Robbins | Dentist | 11711 W Burleigh St, Wauwatosa, WI 53222-3108 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478454 | New Richmond Kidds Pediatric Dentistry LLC | Dentist | 1244 N 4th St Ste 300, New Richmond, WI 54017-7540 | 2020-08-21 |
| 1710509484 | Hospital Dentistry for Kids Inc. | Dentist | 4980 S County Rd T, Denmark, WI 54208 | 2020-05-15 |
| 1467808592 | Alexis Colosimo | Dentist | 11035 W Forest Home Ave Ste 116, Hales Corners, WI 53130-2541 | 2016-05-07 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1407257108 | The Kids Dentist LLC | Dentist | 10618 N Port Washington Rd, Mequon, WI 53092-5013 | 2014-09-12 |
| 1144631698 | Jennifer Sinnen | Dentist | 14430 W Greenfield Ave, Brookfield, WI 53005-7036 | 2014-05-17 |
| 1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
| 1396184370 | Adam Joseph Pamer | Dentist | 1320 S Green Bay Rd, Mt Pleasant, WI 53406-4406 | 2013-06-23 |
| 1255628491 | Ronald J Pruhs | Dentist | 4120 S Lake Dr, Apt. 251, Saint Francis, WI 53235-5954 | 2011-07-08 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.