JOHN PATRICK COSTELLO (NPI# 1346698420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346698420 |
| Entity Type | Individual |
| Full Name | JOHN PATRICK COSTELLO |
| Credential | D.M.D. |
| Practice Address |
129 Highland Ave Salem MA 01970-2774 |
| Practice Telephone | 9787447575 |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2016-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN1857197 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962880625 | John P Costello | Dentist | 4295 Albany Post Rd, Hyde Park, NY 12538-3602 | 2015-05-14 |
| 1053418574 | John Joseph Costello | Obstetrics & Gynecology | 81 Loop 150 W, Bastrop, TX 78602-3930 | 2006-09-19 |
| 1891331732 | John R Costello | Counselor | 41 Page Park Dr, Poughkeepsie, NY 12603-7500 | 2019-11-26 |
| 1699037291 | John Costello | Internal Medicine | 4190 City Ave, Pcom, Philadelphia, PA 19131-1626 | 2012-06-11 |
| 1316264401 | John A Costello | Dentist | 457 North Main St., Suite 100, Pittston, PA 18640 | 2010-04-28 |
| 1952531212 | John Costello | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-07-21 |
| 1093969834 | John Robert Costello | Dentist | 400 Broadway, Newport, RI 02840-1733 | 2008-11-06 |
| 1689837825 | John E. Costello | Dentist | 1640 N Arlington Heights Rd, Suite 201, Arlington Heights, IL 60004-3985 | 2008-07-08 |
| 1518031798 | John Costello | Optometrist | 53 Kent Rd, Howell, NJ 07731-2452 | 2006-11-20 |
| 1417062563 | John B Costello | Internal Medicine | 2821 N Ballas Rd, Suite 165, Saint Louis, MO 63131-2321 | 2006-08-20 |
| Street Address |
129 HIGHLAND AVE |
| City | SALEM |
| State | MA |
| Zip Code | 01970-2774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952330516 | Randall Stanley Burba | Dentist | 129 Highland Ave, Salem, MA 01970-2774 | 2006-07-03 |
| 1336335298 | Burba Dental Partners | Dentist | 129 Highland Ave, Salem, MA 01970-2774 | 2007-09-24 |
| 1023134996 | Stanley J Burba | Dentist | 129 Highland Ave, Salem, MA 01970-2774 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811537665 | My Smile Experience P.C. | Dentist | 99 Rockingham Park Blvd # W111b, Salem, NH 03079-2900 | 2020-01-09 |
| 1861047532 | Kathy Trinh | Dentist | 1920 Turner Rd Se, Suite B, Salem, OR 97302-2003 | 2019-08-08 |
| 1699266981 | Morgan Nicole Shivers | Dentist | 2951 Oh-45, Salem, OH 44460 | 2018-05-23 |
| 1730684937 | Eva Chiu | Dentist | 142a Canal St, Salem, MA 01970-4650 | 2018-03-28 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1942652557 | Karin Arsenault | Dentist | 32 Stiles Rd Ste 208, Salem, NH 03079-2894 | 2016-07-07 |
| 1811391527 | Hala Mahmod | Dentist | 4 Lancelot Ct Apt 15, Salem, NH 03079-3529 | 2014-10-09 |
| 1871907139 | Pure Dental PC | Dentist | 3470 Pipebend Pl Ne Ste 110, Salem, OR 97301-1741 | 2014-06-16 |
| 1669811071 | Stephanie Nicole Vlahos | Dentist | 1930 Braeburn Dr Ste A, Salem, VA 24153-7391 | 2013-06-19 |
| 1568705168 | Alfred Joseph Sotera | Dentist | 12 Stiles Road, Suite 206, Salem, NH 03079-2881 | 2013-04-02 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.