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Dr. Michael L Costello, DDS
General Practice Dentistry in South Milwaukee, Wisconsin
NPI 1073527222

Michael L Costello is a General Practice Dentistry based in South Milwaukee, WI and is specialized in General Practice. Michael L Costello practices in South Milwaukee, WI and has the professional credentials of DDS. The NPI Number for Michael L Costello is 1073527222 and holds a License No. 2736 (Wisconsin).

The current practice location address for Michael L Costello is 1333 College Ave, South Milwaukee, WI and can be reached out via phone at 414-764-6070 and via fax at 414-764-3035.

Location: 1333 College Ave, South Milwaukee, WI, 53172-1150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073527222
Provider Name
Michael L Costello
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1333 College Ave, South Milwaukee, WI, 53172-1150
Phone Number
414-764-6070
Fax Number
414-764-3035
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38387300 05 WI
institution
Provider Business Practice Location Address Details
Address
1333 College Ave
City
South Milwaukee
State
Wisconsin
Zip
53172-1150
Phone Number
414-764-6070
Fax Number
414-764-3035
person
Provider Business Mailing Address Details
Address
1333 College Ave
City
South Milwaukee
State
Wisconsin
Zip
53172-1150
Phone Number
414-764-6070
Fax Number
414-764-3035
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2736 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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