SearchWisconsinGeneral Practice Dentistry

Michael Costello, DDS

NPI 1073527222 · on the registry since 2006 · sole proprietor

Practice

Address
1333 College Ave
Suite C
South Milwaukee, WI 53172
Phone
(414) 764-6070
Fax
(414) 764-3035
Organisation at this address
Athletico Ltd
Nos Healthcare, Inc
Judayah Ventures Llc
Grant Park Dental, S.C.
Serving Ambassador, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin