person
Dr. Anthony Dicostanzo, DDS,PC
General Practice Dentistry in Dyer, Indiana
NPI 1841240819

Anthony Dicostanzo is a General Practice Dentistry based in Dyer, IN and is specialized in General Practice. Anthony Dicostanzo practices in Dyer, IN and has the professional credentials of DDS,PC. The NPI Number for Anthony Dicostanzo is 1841240819 and holds a License No. 12007851A (Indiana).

The current practice location address for Anthony Dicostanzo is 1123 Joliet St, Dyer, IN and can be reached out via phone at 219-865-3303 and via fax at 219-865-3244. You can also correspond with Anthony Dicostanzo through the mailing address at 1123 JOLIET ST, DYER, IN - 46311-1926 (mailing address contact number: 219-865-3303).

Location: 1123 Joliet St, Dyer, IN, 46311-1926
person
Provider Profile Details
NPI Number
1841240819
Provider Name
Anthony Dicostanzo
Credential
DDS,PC
Provider Entity Type
Individual
Gender
Male
Address
1123 Joliet St, Dyer, IN, 46311-1926
Phone Number
219-865-3303
Fax Number
219-865-3244
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100168120 05 IN
857071 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
1123 Joliet St
City
State
Zip
46311-1926
Phone Number
219-865-3303
Fax Number
219-865-3244
person
Provider Business Mailing Address Details
Address
1123 Joliet St
City
State
Zip
46311-1926
Phone Number
219-865-3303
Fax Number
219-865-3244
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
12007851A (Indiana)
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.
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