Dr. Michael A Costello, DMD
Oral & Maxillofacial Surgery in Maywood, New Jersey
1336220466- Practice location
- 949 Spring Valley RD, Maywood, NJ 07607
- Phone
- 201-712-5556
- Fax
- 201-712-5556
- Last updated
- November 18, 2016
Michael A Costello is an Oral & Maxillofacial Surgery based in Maywood, NJ. Michael A Costello practices in Maywood, NJ and has the professional credentials of DMD. The NPI Number for Michael A Costello is 1336220466 and holds a License No. di19847 (NJ). The current practice location address for Michael A Costello is 949 Spring Valley RD, Maywood, NJ 07607 and can be reached out via phone at 201-712-5556 and via fax at 201-712-5556.
Provider Profile Details
- NPI Number
- 1336220466
- Provider Name
- Michael A Costello
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 949 Spring Valley RD, Maywood, NJ 07607
- Phone Number
- 201-712-5556
- Fax Number
- 201-712-5556
- Primary Taxonomy
- Oral & Maxillofacial Surgery · 204E00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 17, 2006
- Last Update Date
- November 18, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 949 Spring Valley RD
Maywood, NJ 07607 - City
- Maywood
- State
- New Jersey
- Zip
- 07607
- Phone Number
- 201-712-5556
- Fax Number
- 201-712-5556
Provider Business Mailing Address Details
- Address
- 949 Spring Valley RD
Maywood, NJ 07607 - City
- Maywood
- State
- NJ
- Zip
- 07607
- Phone Number
- 201-712-5556
- Fax Number
- 201-712-9190
License Information
- License Number (1)
- di19847
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- License Number (2)
- 22DI0198470
- License State (2)
- NJ
- Taxonomy (2)
- Oral & Maxillofacial Surgery · 204E00000X · Primary
- License Number (3)
- 22DI0198470
- License State (3)
- NJ
- Taxonomy (3)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Michael A Costello, DMD?
The NPI number of Dr. Michael A Costello, DMD is 1336220466. It was assigned on October 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael A Costello, DMD?
Dr. Michael A Costello, DMD is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in NJ under license number di19847.
Where does Dr. Michael A Costello, DMD practice?
The practice location is 949 Spring Valley RD, Maywood, NJ 07607. The office can be reached at 201-712-5556 (phone) or 201-712-5556 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336220466 directly on the NPPES registry website.