Costello, John A

Costello, John A is an individual health care provider with primary practice located at 457 North Main St. Suite 100, Pittston PA 18640. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Costello, John A can be contacted via phone (570) 655-7645.

Contact Information

Primary practice address
457 North Main St. Suite 100 Pittston PA 18640
Phone: (570) 655-7645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 030698 Pennsylvania

Profile Details

NPI number 1316264401
LBN Legal business name Costello, John A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2010
Last updated Nov 21st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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