Individual provider · Type 1 NPI

Chanda J. Costello, DMD

General Practice Dentistry · Portland, OR

NPI number 1235385980 Active

Practice location

10211 SW Park Way
Portland, OR 97225-5009

Call (503) 203-6978 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD9133 (OR)

General Practice Dentistry: 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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About NPI 1235385980

Chanda J. Costello, DMD's National Provider Identifier is 1235385980, issued on Aug 13, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Mar 5, 2017.