William John Costello in Philadelphia - General Practice
William John Costello - NPI 1417052556
William John Costello is a General Practice in Philadelphia, Pennsylvania. William John Costello practices all healthcare services and medical treatments related to General Practice. The NPI Number for William John Costello is 1417052556. The last update date is 2007-07-08.
William John Costello's current location address is 730 S 10th St Apt 1b, Philadelphia, Pennsylvania. You can contact this provider via phone number 2672401497. The mailing address for William John Costello is 730 S 10th St Apt 1b, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William John Costello |
|---|---|
| Address | 730 S 10th St Apt 1b, Philadelphia, Pennsylvania |
| Phone Number | 2672401497 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1417052556 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 730 S 10th St Apt 1b |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191471975 |
| Phone Number | 2672401497 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS036827 |
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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 William John Costello's 1417052556?
The William John Costello's NPI (National Provider Identifier) Number is 1417052556. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the William John Costello's physical address?
The William John Costello is physically located at 730 S 10Th St Apt 1B, in the city of Philadelphia, PA, with the postal code 191471975.
What is William John Costello's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for William John Costello is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did William John Costello receive its 1417052556 assignment from the Centers for Medicare & Medicaid Services?
The William John Costello was assigned its 1417052556 on 2006-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to William John Costello most recently updated or revised?
The details related to William John Costello, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.