Active NPIIndividual provider

Mr. Craig A Costanza, DMD

Dentist in Revere, Massachusetts

NPI Number1902816226
Practice location
48 Newhall St, Revere, MA 02151
Fax
—
Last updated
July 8, 2007

Craig Alfred Costanza is a Dentist based in Revere, MA. Craig Alfred Costanza practices in Revere, MA and has the professional credentials of DMD. The NPI Number for Craig Alfred Costanza is 1902816226 and holds a License No. 17025 (MA). The current practice location address for Craig Alfred Costanza is 48 Newhall St, Revere, MA 02151 and can be reached out via phone at 781-284-2090.

Provider Profile Details

NPI Number
1902816226
Provider Name
Craig Alfred Costanza
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
48 Newhall St, Revere, MA 02151
Phone Number
781-284-2090
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 Newhall St
Revere, MA 02151
City
Revere
Zip
02151
Phone Number
781-284-2090
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
24 Bateman Ave
Revere, MA 02151
City
Revere
State
MA
Zip
02151
Phone Number
781-284-2090

License Information

License Number
17025
License State
MA
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 Mr. Craig A Costanza, DMD?

The NPI number of Mr. Craig A Costanza, DMD is 1902816226. It was assigned on August 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Craig A Costanza, DMD?

Mr. Craig A Costanza, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 17025.

Where does Mr. Craig A Costanza, DMD practice?

The practice location is 48 Newhall St, Revere, MA 02151. The office can be reached at 781-284-2090 (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 1902816226 directly on the NPPES registry website.

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