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

Dr. Jacob Simonovich, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639532955

Dr. Jacob Simonovich, DDS is a Student in an Organized Health Care Education/Training Program in Menomonee Falls, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
Specialties on file
2
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

N85W16093 Appleton Ave
Menomonee Falls, WI 53051-3088
Phone: (262) 253-9797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1001324-15 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639532955
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 4, 2016
Last updated in NPPESDecember 13, 2016
Mailing addressN85w16093 Appleton Ave, Menomonee Falls, WI 53051-3088

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