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Dr. Robert Vance Costello, DDS
Oral and Maxillofacial Surgery (Dentist) in Lafayette, Louisiana
NPI 1376565580

Robert Vance Costello is a Oral and Maxillofacial Surgery (Dentist) based in Lafayette, LA and is specialized in Oral and Maxillofacial Surgery. Robert Vance Costello practices in Lafayette, LA and has the professional credentials of DDS. The NPI Number for Robert Vance Costello is 1376565580 and holds a License No. 5630 (Louisiana).

The current practice location address for Robert Vance Costello is 1911 W Congress St, Lafayette, LA and can be reached out via phone at 337-233-5532 and via fax at 337-233-6799.

Location: 1911 W Congress St, Lafayette, LA, 70506-4433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376565580
Provider Name
Robert Vance Costello
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1911 W Congress St, Lafayette, LA, 70506-4433
Phone Number
337-233-5532
Fax Number
337-233-6799
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1911 W Congress St
City
Lafayette
State
Louisiana
Zip
70506-4433
Phone Number
337-233-5532
Fax Number
337-233-6799
person
Provider Business Mailing Address Details
Address
1911 W Congress St
City
Lafayette
State
Louisiana
Zip
70506-4433
Phone Number
337-233-5532
Fax Number
337-233-6799
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5630 (Louisiana)
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5630 (Louisiana)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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