Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brock Coletti

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720447097

Brock Coletti is a Student in an Organized Health Care Education/Training Program in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016
Specialties on file
2

Practice location Address checks out

3235 N Towerbridge Way Ste 200
Meridian, ID 83646-5721
Phone: (208) 888-7711
Fax: (208) 888-3089
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D-4928 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720447097
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 15, 2016
Last updated in NPPESNovember 13, 2019
Mailing address3235 N Towerbridge Way Ste 200, Meridian, ID 83646-5721

Other providers in Meridian