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MR. FREDRICK WILLIAM COSTELLO D.D.S.
NPI 1245243401
Dentist - General Practice in Ormond Beach, FL

Active since August 15, 2006
1089 W GRANADA BLVD, SUITE 1, ORMOND BEACH, FL 32174(386) 673-1611(386) 672-3543 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Fredrick William Costello D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. FREDRICK WILLIAM COSTELLO D.D.S. (NPI 1245243401) is an individual general practice provider in Ormond Beach, Florida, licensed in Florida (DN6323) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1245243401
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. FREDRICK WILLIAM COSTELLOCredential: D.D.S.
Location Address1089 W GRANADA BLVD, SUITE 1Ormond Beach, FL 32174-8116
Mailing Address1089 W Granada Blvd, Suite 1Ormond Beach, FL 32174-8116 · (386) 673-1611 · Fax (386) 672-3543
Phone(386) 673-1611
Fax(386) 672-3543
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245243401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN6323
Definition
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.
1089 W GRANADA BLVD, Ormond Beach, FL 32174
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL RAYMOND DRAKE D.D.S.
Dentist (General Practice)
1089 W GRANADA BLVD, SUITE 1
ORMOND BEACH, FL 32174
Flagler County (386) 673-1611
MICHAEL T CADY O.D.
Optometrist
1089 W GRANADA BLVD, SUITE 4
ORMOND BEACH, FL 32174
Flagler County (386) 676-1300
KRASKI, COSTELLO & DRAKE, PA
Dentist (General Practice)
1089 W GRANADA BLVD, SUITE 1
ORMOND BEACH, FL 32174
Flagler County (386) 673-1611
FLORIDA EYE CLINIC P A
Optometrist
1089 W GRANADA BLVD, #4
ORMOND BEACH, FL 32174
Flagler County (386) 676-1300
MISS LESLIE TERESA BURTON LMT
Specialist
1089 W GRANADA BLVD, SUITE 3
ORMOND BEACH, FL 32174
Flagler County (386) 679-0972

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredrick Costello's NPI number?

The NPI number for Fredrick Costello is 1245243401. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Fredrick Costello located?

Fredrick Costello practices at 1089 W Granada Blvd Suite 1, Ormond Beach, FL 32174. The listed phone number is (386) 673-1611.

What is Fredrick Costello's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fredrick Costello was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.