Active NPIIndividual providerSole proprietor

Dr. Kenneth S Costa, DMD

Dentist in Dunellen, New Jersey

NPI Number1790887941
Practice location
220 N Washington Ave, Dunellen, NJ 08812-1246
Fax
908-534-4027
Last updated
September 23, 2009

Kenneth S Costa is a Dentist based in Dunellen, NJ. Kenneth S Costa practices in Dunellen, NJ and has the professional credentials of DMD. The NPI Number for Kenneth S Costa is 1790887941 and holds a License No. 11853 (NJ). The current practice location address for Kenneth S Costa is 220 N Washington Ave, Dunellen, NJ 08812-1246 and can be reached out via phone at 732-968-1115 and via fax at 908-534-4027.

Provider Profile Details

NPI Number
1790887941
Provider Name
Kenneth S Costa
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
220 N Washington Ave, Dunellen, NJ 08812-1246
Phone Number
732-968-1115
Fax Number
908-534-4027
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
September 1, 2006
Last Update Date
September 23, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
220 N Washington Ave
Dunellen, NJ 08812-1246
Zip
08812-1246
Phone Number
732-968-1115
Fax Number
908-534-4027
Dunellen, NJ 08812Get directions →

Provider Business Mailing Address Details

Address
8 John Stevens Road
Whitehouse St, NJ 08889
City
Whitehouse St
State
NJ
Zip
08889
Phone Number
908-534-1127
Fax Number
908-534-4027

License Information

License Number
11853
License State
NJ
Taxonomy
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. Kenneth S Costa, DMD?

The NPI number of Dr. Kenneth S Costa, DMD is 1790887941. It was assigned on September 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth S Costa, DMD?

Dr. Kenneth S Costa, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 11853.

Where does Dr. Kenneth S Costa, DMD practice?

The practice location is 220 N Washington Ave, Dunellen, NJ 08812-1246. The office can be reached at 732-968-1115 (phone) or 908-534-4027 (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 1790887941 directly on the NPPES registry website.

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