Ernest Lynn Kostlan in Costa Mesa - Dentist
Ernest Lynn Kostlan - NPI 1912120684
Ernest Lynn Kostlan is a Dentist in Costa Mesa, California. Ernest Lynn Kostlan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ernest Lynn Kostlan is 1912120684. The last update date is 2007-07-08.
Ernest Lynn Kostlan's current location address is 275 Victoria, Costa Mesa, California. You can contact this provider via phone number 9496311420 and fax number 9495488844. The mailing address for Ernest Lynn Kostlan is 275 Victoria, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ernest Lynn Kostlan |
|---|---|
| Address | 275 Victoria, Costa Mesa, California |
| Phone Number | 9496311420 |
| Fax Number | 9495488844 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912120684 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 275 Victoria |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 92627 |
| Phone Number | 9496311420 |
| Fax Number | 9495488844 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 11804 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B1180401 | CA | DENTICAL |
Post Comment/ Review Below
What is the unique identifier code issued to Ernest Lynn Kostlan by the Centers for Medicare & Medicaid Services?
The Ernest Lynn Kostlan has been assigned the NPI (National Provider Identifier) 1912120684. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ernest Lynn Kostlan's facilities are geographically located?
The facilities of Ernest Lynn Kostlan are physically situated at the following location: 275 Victoria, Costa Mesa, CA, 92627.
What is Ernest Lynn Kostlan's area of expertise and its corresponding taxonomy classification?
The Ernest Lynn Kostlan's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Ernest Lynn Kostlan receive its 1912120684 assignment from the Centers for Medicare & Medicaid Services?
The Ernest Lynn Kostlan was assigned its 1912120684 by the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date were the details related to Ernest Lynn Kostlan most recently updated or revised?
The information pertaining to Ernest Lynn Kostlan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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