IndividualActive
Brian Bollwitt, D.M.D.
NPI 1235547159 · Dentist · Meridian, ID
Provider details
- NPI number
- 1235547159
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D-4598 (ID)
Mailing address
1311 E Central Dr
Meridian, ID 83642-7991
Registry dates
- Enumerated
- 2014-07-23
- Last updated
- 2014-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.