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Mr. Fredrick William Costello, DDS
General Practice Dentistry in Ormond Beach, Florida
NPI 1245243401

Fredrick William Costello is a General Practice Dentistry based in Ormond Beach, FL and is specialized in General Practice. Fredrick William Costello practices in Ormond Beach, FL and has the professional credentials of DDS. The NPI Number for Fredrick William Costello is 1245243401 and holds a License No. DN6323 (Florida).

The current practice location address for Fredrick William Costello is 1089 W Granada Blvd, Ormond Beach, FL and can be reached out via phone at 386-673-1611 and via fax at 386-672-3543.

Location: 1089 W Granada Blvd, Ormond Beach, FL, 32174-8116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245243401
Provider Name
Fredrick William Costello
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1089 W Granada Blvd, Ormond Beach, FL, 32174-8116
Phone Number
386-673-1611
Fax Number
386-672-3543
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1089 W Granada Blvd
City
Ormond Beach
State
Florida
Zip
32174-8116
Phone Number
386-673-1611
Fax Number
386-672-3543
person
Provider Business Mailing Address Details
Address
1089 W Granada Blvd
City
Ormond Beach
State
Florida
Zip
32174-8116
Phone Number
386-673-1611
Fax Number
386-672-3543
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN6323 (Florida)
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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