Individual provider · Type 1 NPI
Nicolet Derose, D.D.S
Pediatric Dentistry · Racine, WI
NPI number
1194892166
Active
Practice location
316 5th St
Racine, WI 53403-4606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 2362 (WI) |
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.
3 other providers at this address
Other pediatric dentistry providers in Racine
About NPI 1194892166
Nicolet Derose, D.D.S's National Provider Identifier is 1194892166, issued on Nov 29, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Racine, WI. The record was last updated on Jul 8, 2007.