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Provider Information for 1033300421

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. LAURENCE J. COLLETTI D.D.S.

Gender: MALE

Individual NPI: 1033300421

Calendar   Last Updated:  2007-08-09
  Certification Date: 

Details

Name Value
NPI 1033300421
Enumeration Date 2007-08-09
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1056 S 88TH ST
LOUISVILLE, CO 80027-9460
United States

Phone: 303-666-0800 | Fax: 303-604-2995
View Map External Link
Primary Practice Address 1056 S 88TH ST
LOUISVILLE, CO 80027-9460
United States

Phone: 303-666-0800 | Fax: 303-604-2995
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223X0400X - Dentist Orthodontics and Dentofacial Orthopedics CO 6365