Jerry Frank Colapret, DDS

Individual provider Active NPI General Practice Dentistry · Cleveland, TX

NPI 1215093646 · NPPES record last updated May 15, 2018

Key facts

NPI
1215093646
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
1068 (TX)
Practice address
308 Belcher St Ste a
Cleveland, TX 77327
Phone
(832) 401-5044
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1068TXMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1068 TX Yes

Addresses

Primary practice location

308 Belcher St Ste a
Cleveland, TX 77327

Mailing address

308 Belcher St Ste a
Cleveland, TX 77327-3630
Phone (832) 401-5044

Other providers in Cleveland, TX

All providers in Cleveland, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.