Individual provider · Type 1 NPI

Edmund J. Costello, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · West Roxbury, MA

NPI number 1831106541 Active

Practice location

1698 Centre St
West Roxbury, MA 02132-1240

Fax (781) 769-0599

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XMA10764 (MA)

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 1831106541

Edmund J. Costello, DMD's National Provider Identifier is 1831106541, issued on Aug 2, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in West Roxbury, MA. The record was last updated on Jul 8, 2007.