NPI 1356543458 · live from the CMS NPI Registry
Adrian J. Costanza
Dentist, Orthodontics and Dentofacial Orthopedics in Revere, MA. National Provider Identifier 1356543458, active.
NPI record
| NPI | 1356543458 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 48 Newhall St, Revere, MA 02151 |
| Practice phone | 781-289-8050 |
| Enumerated | June 1, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Adrian Costanza, Orthodontist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 8910 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.