Search › Minnesota › 122300000X
Kevin Costley, DDS
NPI 1649346297 · on the registry since 2006
Practice
- Address
- 101 7th Street North
Sartell, MN 56377 - Phone
- (320) 253-8241
- Fax
- (320) 253-8625
- Organisation at this address
- Riverside Dental Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MN
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 Minnesota