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DR. NICOLET DEROSE D.D.S
NPI 1194892166
Dentist - Pediatric Dentistry in Racine, WI

Active since November 29, 2006

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicolet Derose D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLET DEROSE D.D.S (NPI 1194892166) is an individual pediatric dentistry provider in Racine, Wisconsin, licensed in Wisconsin (2362) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1194892166
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. NICOLET DEROSECredential: D.D.S
Location Address316 5TH STRacine, WI 53403-4606
Mailing Address316 5th StRacine, WI 53403-4606 · (262) 534-8662
Phone(262) 534-8662
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194892166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WI · 2362
Definition
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.
316 5TH ST, Racine, WI 53403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TALIA CATHERINE DEROSE MSW
Counselor (Professional)
316 5TH ST, SUITE 1
RACINE, WI 53403
Racine County (262) 633-1235
DEROSE FAMILY COUNSELING, LLC.
Community/Behavioral Health
316 5TH ST, SUITE 1
RACINE, WI 53403
Racine County (262) 633-1235
DR. FRANCESCA DEROSE
Dentist
316 5TH ST
RACINE, WI 53403
Racine County (262) 634-8662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicolet Derose's NPI number?

The NPI number for Nicolet Derose is 1194892166. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Nicolet Derose located?

Nicolet Derose practices at 316 5th St, Racine, WI 53403. The listed phone number is (262) 534-8662.

What is Nicolet Derose's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Nicolet Derose accept?

Health plans from Delta Dental of Wisconsin, Inc. list Nicolet Derose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicolet Derose was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.