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Dr. Edmund J Costello, DMD
Orthodontics and Dentofacial Orthopedic Dentist in West Roxbury, Massachusetts
NPI 1831106541

Edmund J Costello is a Orthodontics and Dentofacial Orthopedic Dentist based in West Roxbury, MA and is specialized in Orthodontics and Dentofacial Orthopedics. Edmund J Costello practices in West Roxbury, MA and has the professional credentials of DMD. The NPI Number for Edmund J Costello is 1831106541 and holds a License No. MA10764 (Massachusetts).

The current practice location address for Edmund J Costello is 1698 Centre St, West Roxbury, MA and can be reached out via phone at 617-327-9656 and via fax at 781-769-0599.

Location: 1698 Centre St, West Roxbury, MA, 02132-1240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831106541
Provider Name
Edmund J Costello
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1698 Centre St, West Roxbury, MA, 02132-1240
Phone Number
617-327-9656
Fax Number
781-769-0599
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1698 Centre St
City
West Roxbury
State
Massachusetts
Zip
02132-1240
Phone Number
617-327-9656
Fax Number
781-769-0599
person
Provider Business Mailing Address Details
Address
1698 Centre St
City
West Roxbury
State
Massachusetts
Zip
02132-1240
Phone Number
617-327-9656
Fax Number
781-769-0599
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
MA10764 (Massachusetts)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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