Active NPIIndividual provider

Dr. Benjamin Costa II, DMD

Dentist in Cambridge, Massachusetts

NPI Number1659756575
Practice location
114 Mount Auburn St, Cambridge, MA 02138-5775
Fax
—
Last updated
February 22, 2021

Benjamin Costa is a Dentist based in Cambridge, MA. Benjamin Costa practices in Cambridge, MA and has the professional credentials of DMD. The NPI Number for Benjamin Costa is 1659756575 and holds a License No. 64628 (CA). The current practice location address for Benjamin Costa is 114 Mount Auburn St, Cambridge, MA 02138-5775 and can be reached out via phone at 617-495-1434.

Provider Profile Details

NPI Number
1659756575
Provider Name
Benjamin Costa
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
114 Mount Auburn St, Cambridge, MA 02138-5775
Phone Number
617-495-1434
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2015
Last Update Date
February 22, 2021
Certification Date
February 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Mount Auburn St
Cambridge, MA 02138-5775
Zip
02138-5775
Phone Number
617-495-1434
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
4142 Adams Ave
San Diego, CA 92116-2592
City
San Diego
State
CA
Zip
92116-2592
Phone Number
619-326-0157

License Information

License Number (1)
64628
License State (1)
CA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DN1857166
License State (2)
MA
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Benjamin Costa II, DMD?

The NPI number of Dr. Benjamin Costa II, DMD is 1659756575. It was assigned on July 21, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Benjamin Costa II, DMD?

Dr. Benjamin Costa II, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CA under license number 64628.

Where does Dr. Benjamin Costa II, DMD practice?

The practice location is 114 Mount Auburn St, Cambridge, MA 02138-5775. The office can be reached at 617-495-1434 (phone).

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 1659756575 directly on the NPPES registry website.

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