Individual provider · Type 1 NPI

Massimo Costalonga, DMD, PhD

Periodontics · Minneapolis, MN

NPI number 1649563040 Active

Practice location

516 Delaware St SE, 7-300 Pwb
Minneapolis, MN 55455-0356

Call (612) 626-3233 Map

Mailing address

515 Delaware St SE, 7-368 Moost
Minneapolis, MN 55455-0357

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XD11846 (MN)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1649563040

Massimo Costalonga, DMD, PhD's National Provider Identifier is 1649563040, issued on May 18, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Minneapolis, MN. The record was last updated on May 18, 2011.