Costello, Robert Vance

Costello, Robert Vance is an sole proprietor health care provider with primary practice located at 1911 W Congress St , Lafayette LA 70506-4433. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Costello, Robert Vance can be contacted via phone (337) 233-5532.

Contact Information

Primary practice address
1911 W Congress St Lafayette LA 70506-4433
Phone: (337) 233-5532
Fax: (337) 233-6799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5630 Louisiana
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5630 Louisiana

Profile Details

NPI number 1376565580
LBN Legal business name Costello, Robert Vance
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Nov 15th, 2021 - about 3 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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