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DR. MICHAEL A COSTELLO DMD NPI 1336220466


NPI Information

NPI: 1336220466
Provider Name: DR. MICHAEL A COSTELLO, DMD
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
949 SPRING VALLEY RD
MAYWOOD, NJ
ZIP 07607
Phone: (201) 712-5556
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DR. Michael A Costello, DMD is an oral maxillofacial surgery in Maywood, NJ. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Michael A Costello, DMD NPI is 1336220466. 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:

949 SPRING VALLEY RD
MAYWOOD, NJ
ZIP 07607
Phone: (201) 712-5556
Fax: (201) 712-5556

The enumeration date for this NPI number is 10/17/2006 and was last updated on 11/18/2016.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryDI19847NEW JERSEYNo
21223S0112XDentistOral and Maxillofacial Surgery22DI0198470NEW JERSEYNo
3204E00000XOral & Maxillofacial Surgery22DI0198470NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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