MITCHEL COSTA D.D.S. NPI 1245617448

NPI Information

Mitchel Costa, D.D.S. is a general practice dentist in Fairport, NY. The provider is 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. Mitchel Costa, D.D.S. NPI is 1245617448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2828 BAIRD RD
FAIRPORT, NY
ZIP 14450-247
Phone: (585) 383-0840
Fax: (585) 383-0881

The enumeration date for this NPI number is 4/27/2015 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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