Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083361950 Individual Practitioner Male Practitioner

Michael Kevin Simonetti

Dentist - General Practice • Guadalupe, AZ

Professional Overview & Biography Verified Profile Summary

Michael Simonetti is a registered healthcare professional specializing in Dentist - General Practice in Guadalupe, AZ. Practice services are available at 9405 S AVENIDA DEL YAQUI under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9405 S Avenida Del Yaqui

Guadalupe, AZ 852832529

Telephone 4807682000
Associated Practice Facility / Clinic
🏢 Pascua Yaqui Tribe Facility NPI 1912178997

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Guadalupe, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Guadalupe, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 063487

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1386703106

Licensed Clinical Professional Counselor, Licensed Acupuncturist

Michael Koenig , LPC

Counselor - Mental Health

NPI 1881312742

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2022

Registered at 9405 S AVENIDA DEL YAQUI, GUADALUPE, AZ 852832529 (Tel: 4807682000)

📍
Updated Business Mailing Address March 09, 2022

Registered at 290 RICHMOND AVE, BUFFALO, NY 142221997 (Tel: 6313565629)

👤
Provider Name / Credentials Updated March 09, 2022

Recorded as MICHAEL SIMONETTI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 09, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083361950
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2022
Last Update: September 20, 2023
Sole Proprietor: Yes

Mailing Address

290 Richmond Ave

Buffalo, NY 142221997

Phone: 6313565629

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.