Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicolet Derose, DDS

Individual provider Pediatric Dentistry · NPI 1194892166

Dr. Nicolet Derose, DDS is a Pediatric Dentistry in Racine, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

316 5th St
Racine, WI 53403-4606
Phone: (262) 534-8662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2362 (WI)

Record details

NPI number1194892166
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 8, 2007

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