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BROCK COLETTI
NPI 1720447097
Dentist - Pediatric Dentistry in Meridian, ID

Active since February 15, 2016
3235 N TOWERBRIDGE WAY STE 200, MERIDIAN, ID 83646(208) 888-7711(208) 888-3089 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2019, Jul 24, 2018, Jan 17, 2017 and 1 more (4 updates tracked since 2016).

About Brock Coletti NPPES

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

BROCK COLETTI (NPI 1720447097) is an individual pediatric dentistry provider in Meridian, Idaho, licensed in Idaho (D-4928) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1720447097
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameBROCK COLETTI
Location Address3235 N TOWERBRIDGE WAY STE 200Meridian, ID 83646-5721
Mailing Address3235 N Towerbridge Way Ste 200Meridian, ID 83646-5721 · (208) 888-7711 · Fax (208) 888-3089
Phone(208) 888-7711
Fax(208) 888-3089
Sole ProprietorNo
Enumeration DateFebruary 15, 2016
Last NPPES UpdateNovember 13, 20194 updates tracked since enumeration
✔ NPI 1720447097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in ID · D-4928
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3235 N TOWERBRIDGE WAY STE 200, Meridian, ID 83646
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Brock Coletti's NPI number?

The NPI number for Brock Coletti is 1720447097. It was assigned to this individual provider in the NPPES registry on February 15, 2016.

Where is Brock Coletti located?

Brock Coletti practices at 3235 N Towerbridge Way Ste 200, Meridian, ID 83646. The listed phone number is (208) 888-7711.

What is Brock Coletti's specialty?

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

What insurance does Brock Coletti accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Brock Coletti 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 Brock Coletti was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.