Cory J Costanzo in Fresno - Orthodontics And Dentofacial Orthopedics
Cory J Costanzo - NPI 1780804369
Cory J Costanzo is a Orthodontics And Dentofacial Orthopedics in Fresno, California. Cory J Costanzo practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Cory J Costanzo is 1780804369. The last update date is 2007-07-08.
Cory J Costanzo's current location address is 7104 N Fresno St, Fresno, California. You can contact this provider via phone number 5594392147. The mailing address for Cory J Costanzo is 7104 N Fresno St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cory J Costanzo |
|---|---|
| Address | 7104 N Fresno St, Fresno, California |
| Phone Number | 5594392147 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1780804369 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7104 N Fresno St |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937202970 |
| Phone Number | 5594392147 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 50234 |
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Definition: 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 rel |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Cory J Costanzo by the Centers for Medicare & Medicaid Services?
The Cory J Costanzo has been issued the NPI (National Provider Identifier) 1780804369, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Cory J Costanzo?
The Cory J Costanzo is physically situated at 7104 N Fresno St, in the city of Fresno, state of CA, with the postal code 937202970.
What is Cory J Costanzo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Cory J Costanzo's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Cory J Costanzo receive its 1780804369 assignment from the Centers for Medicare & Medicaid Services?
The Cory J Costanzo was assigned its 1780804369 by the Centers for Medicare & Medicaid Services on 2007-04-26.
When was the information related to Cory J Costanzo most recently updated or refreshed?
The details pertaining to the Cory J Costanzo, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.