Individual provider · Type 1 NPI

Peter A. Costalos, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Brooklyn, NY

NPI number 1710049408 Active

Practice location

462 Bay Ridge Pkwy
Brooklyn, NY 11209-2702

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	049776 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1710049408

Peter A. Costalos, DMD's National Provider Identifier is 1710049408, issued on Dec 16, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.