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

Michael Kevin Simonetti

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083361950

Michael Kevin Simonetti is a Student in an Organized Health Care Education/Training Program in Guadalupe, Arizona. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Guadalupe, AZ

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 063487 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083361950
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 9, 2022
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

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