Individual provider · Type 1 NPI

Fredrick William Costello, DDS

General Practice Dentistry · Ormond Beach, FL

NPI number 1245243401 Active

Practice location

1089 W Granada Blvd, Suite 1
Ormond Beach, FL 32174-8116

Call (386) 673-1611 Map

Fax (386) 672-3543

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN6323 (FL)

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 1245243401

Fredrick William Costello, DDS's National Provider Identifier is 1245243401, issued on Aug 15, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ormond Beach, FL. The record was last updated on Jul 8, 2007.