SearchLouisianaOral and Maxillofacial Surgery (Dentist)

Robert Costello, DDS

NPI 1376565580 · on the registry since 2006 · sole proprietor

Practice

Address
1911 W Congress St
Lafayette, LA 70506
Phone
(337) 233-5532
Fax
(337) 233-6799
Clinicians at this address
2

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Also registered as
General Practice Dentistry
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-15

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 Louisiana