MICHAEL COSTELLO, DMD

Oral & Maxillofacial Surgery (D.M.D.) · MAYWOOD, NJ

Individual Active Opted out of Medicare NPI 1336220466

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000X22DI0198470NJ
Oral and Maxillofacial Surgery (Dentist)1223S0112XDI19847NJ
Oral and Maxillofacial Surgery (Dentist)1223S0112X22DI0198470NJ

Medicare eligibility

Opted out of Medicare (Maxillofacial Surgery), effective 2016-04-01 through 2028-04-01.

Other Oral & Maxillofacial Surgery (D.M.D.) providers in New Jersey

See all Oral & Maxillofacial Surgery (D.M.D.) providers in New Jersey

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.