John Robert Costello, D.M.D.

NPI #1093969834 in Newport, Rhode Island

Provider Information

NPI Number: 1093969834
Entity Type: Individual
Name: John Robert Costello, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Nov 6, 2008
Last Updated: Nov 6, 2008

Practice Location

Address: 400 BROADWAY
City: Newport
State: Rhode Island
ZIP Code: 02840-1733
Phone: (401) 849-8433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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