Individual provider · Type 1 NPI
Brock Coletti
Pediatric Dentistry · Meridian, ID
NPI number
1720447097
Active
Practice location
3235 N Towerbridge Way Ste 200
Meridian, ID 83646-5721
Fax (208) 888-3089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | D-4928 (ID) |
Pediatric Dentistry: 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.
Other pediatric dentistry providers in Meridian
About NPI 1720447097
Brock Coletti's National Provider Identifier is 1720447097, issued on Feb 15, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Meridian, ID. The record was last updated on Nov 13, 2019.