Provider Demographics
NPI:1972595353
Name:CALETTI, GARY B (DMD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:B
Last Name:CALETTI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 ENGLEWOOD PKWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-7315
Mailing Address - Country:US
Mailing Address - Phone:303-744-5000
Mailing Address - Fax:303-744-5600
Practice Address - Street 1:800 ENGLEWOOD PKWY
Practice Address - Street 2:SUITE A 201
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-7315
Practice Address - Country:US
Practice Address - Phone:303-744-5000
Practice Address - Fax:303-744-5600
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHD1-009141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice