Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROCK COLETTI
ActiveBROCK COLETTI is a Pediatric Dentistry healthcare provider located in MERIDIAN, Idaho. NPI 1720447097 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · MERIDIAN, ID
Registration Details
- NPI Number
- 1720447097
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2016 (10.457707334486 yrs)
- Last Updated
- Nov 13, 2019
- License
-
D-4928 (ID)
Practice Information
- Address
-
3235 N TOWERBRIDGE WAY STE 200MERIDIAN, ID, 836465721Browse ID providers · Browse ZIP 83646
- Phone
- 2088887711
- Fax
- 2088883089
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| LAWRENCE WAYNE MEADORS | D.M.D. | 1962466292 |
| DR. JOEL E WHITT | D.M.D. | 1326098682 |
| DR. TOBY O MERRIMAN | DMD | 1407801939 |
| DR. RANDALL PARLEY BLAIR | DMD | 1659546174 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.