Anthony Dicostanzo in Dyer - General Practice

Anthony Dicostanzo - NPI 1841240819

Anthony Dicostanzo is a General Practice in Dyer, Indiana. Anthony Dicostanzo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Anthony Dicostanzo is 1841240819. The last update date is 2010-01-11.

Anthony Dicostanzo's current location address is 1123 Joliet St, Dyer, Indiana. You can contact this provider via phone number 2198653303 and fax number 2198653244. The mailing address for Anthony Dicostanzo is 1123 Joliet St, Dyer, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony Dicostanzo
Address 1123 Joliet St, Dyer, Indiana
Phone Number 2198653303
Fax Number 2198653244
Sole Proprietor Y
Credentials D.D.S., P.

NPI Number Detail

NPI Number 1841240819
Provider Enumeration Date 2006-05-11
Last Updated Date 2010-01-11

Provider Mailing Address Detail

Address 1123 Joliet St
City Dyer
State Indiana (IN)
Post Code 463111926
Phone Number 2198653303
Fax Number 2198653244

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12007851A
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100168120 IN --
857071 UNITED CONCORDIA

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FAQs about Anthony Dicostanzo

What is the unique identifier code issued to Anthony Dicostanzo by the Centers for Medicare & Medicaid Services?

The Anthony Dicostanzo has been assigned the NPI (National Provider Identifier) 1841240819. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Anthony Dicostanzo?

The Anthony Dicostanzo is physically situated at 1123 Joliet St, in the city of Dyer, state of IN, with the postal code 463111926.

What is Anthony Dicostanzo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Anthony Dicostanzo is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date was the 1841240819 assigned to Anthony Dicostanzo?

The Anthony Dicostanzo was issued its 1841240819 on 2006-05-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Anthony Dicostanzo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Anthony Dicostanzo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-11.

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