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

9405 S Avenida Del Yaqui
Guadalupe, AZ 85283-2529
Phone: (480) 768-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

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
Mailing address290 Richmond Ave, Buffalo, NY 14222-1997

Other providers in Guadalupe