DR. ROBERT VANCE COSTELLO (NPI# 1376565580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376565580 |
| Entity Type | Individual |
| Full Name | DR. ROBERT VANCE COSTELLO |
| Credential | DDS |
| Practice Address |
1911 W Congress St Lafayette LA 70506-4433 |
| Practice Telephone | 3372335532 |
| Practice Fax Number | 3372336799 |
| Mailing Telephone | 3372335532 |
| Mailing Fax Number | 3372336799 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5630 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780758854 | Robert M Costello | Chiropractor | 1005 Perry Hwy, Suite 1, Pittsburgh, PA 15237-2108 | 2006-11-20 |
| 1326454638 | Robert Costello | Internal Medicine | 220 Hamburg Tpke, Suite 8, Wayne, NJ 07470-2110 | 2014-07-08 |
| 1265559876 | Robert Joseph Costello | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2007-03-26 |
| 1477679413 | Robert Edward Costello | Chiropractor | 9876 Queens Blvd, 1-f, Rego Park, NY 11374-4356 | 2007-03-21 |
| Street Address |
1911 W CONGRESS ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275552135 | Jon Aubry Feerick | Dentist | 1911 W Congress St, Lafayette, LA 70506-4433 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519883 | Indian Peaks Dental PC | Dentist | 1319 W Baseline Rd Ste 200, Lafayette, CO 80026-9308 | 2019-07-16 |
| 1609430156 | Guido Family Dentistry | Dentist | 150 Professional Ct Ste B, Lafayette, IN 47905-5153 | 2019-04-30 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1053802801 | Jessica Reed Neu | Dentist | 5540 Johnston St, Lafayette, LA 70503-5138 | 2018-05-27 |
| 1285142026 | Lafayette Westend Dental LLC | Dentist | 311 Sagamore Pkwy N Ste 2, Lafayette, IN 47904-2800 | 2018-01-15 |
| 1649787649 | Erin A. Fontenot D.d.s., L.L.C. | Dentist | 1105 S College Rd Ste B, Lafayette, LA 70503-3067 | 2017-12-29 |
| 1841716602 | Bryan Patrick Villescas | Dentist | 1255 Cimarron Dr Ste 101, Lafayette, CO 80026-1282 | 2017-08-14 |
| 1518418680 | Dental Professionals of Indiana, PC | Dentist | 2000 Veterans Memorial Parkway S, Lafayette, IN 47909 | 2016-10-24 |
| 1457715062 | Jesus Loza Salinas | Dentist | 1345 Plaza Ct N Ste 1a, Lafayette, CO 80026-2832 | 2016-04-09 |
| 1598147712 | Kathleen Adley Darnall | Dentist | 185 S. Beadle Rd., Lafayette, LA 70508 | 2015-06-24 |
| Find all providers in LAFAYETTE | ||||
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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.