Fredrick William Costello in Ormond Beach - General Practice
Fredrick William Costello - NPI 1245243401
Fredrick William Costello is a General Practice in Ormond Beach, Florida. Fredrick William Costello practices all healthcare services and medical treatments related to General Practice. The NPI Number for Fredrick William Costello is 1245243401. The last update date is 2007-07-08.
Fredrick William Costello's current location address is 1089 W Granada Blvd, Ormond Beach, Florida. You can contact this provider via phone number 3866731611 and fax number 3866723543. The mailing address for Fredrick William Costello is 1089 W Granada Blvd, Ormond Beach, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Fredrick William Costello |
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Address | 1089 W Granada Blvd, Ormond Beach, Florida |
Phone Number | 3866731611 |
Fax Number | 3866723543 |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1245243401 |
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Provider Enumeration Date | 2006-08-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1089 W Granada Blvd |
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City | Ormond Beach |
State | Florida (FL) |
Post Code | 321748116 |
Phone Number | 3866731611 |
Fax Number | 3866723543 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | DN6323 |
Definition: 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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What is the Fredrick William Costello's 1245243401?
The Fredrick William Costello's NPI (National Provider Identifier) Number is 1245243401. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Fredrick William Costello is physically located?
The Fredrick William Costello is situated at the following address: 1089 W Granada Blvd, Ormond Beach, FL 321748116.
What is Fredrick William Costello's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Fredrick William Costello is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When did Fredrick William Costello receive its 1245243401 assignment?
The Fredrick William Costello was assigned its 1245243401 on 2006-08-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Fredrick William Costello most recently updated or revised?
The information pertaining to Fredrick William Costello, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.