Gary Andreoletti DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104419 Issued in CO

Legal business name

GARY ANDREOLETTI DDS PC

Practice address

576 Kokopelli Blvd
Ste. B
Fruita, CO 81521-6304

Phone

(970) 858-4544

Fax

(970) 858-9187

NPI assigned

May 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Andreoletti, DDS

Title

President

Phone

(970) 858-4544

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1821477050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 KOKOPELLI BLVD",
            "address_2": "STE. B",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216304",
            "telephone_number": "970-858-4544",
            "fax_number": "970-858-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 KOKOPELLI BLVD",
            "address_2": "STE. B",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216304",
            "telephone_number": "970-858-4544",
            "fax_number": "970-858-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY ANDREOLETTI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "ANDREOLETTI",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-858-4544",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Franzitta
• Eric W Frevert, PA
• Fruita Canyon Dental
• Fruita Chiropractic and Massage
• Angela Kuzminski Gao, DO
• Joshua Gavin, DO
• Susan Jean Gemmell-Crosby, OTR
• Janice K Gifford, PT
• Dawn Marie Glenn, LPC
• Douglas Goforth, DPM

• All providers in Fruita, CO
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.