LISA COSTELLO DENTAL HYGIENIST
NPI 1760855225
Dental Hygienist in Grand Haven, MI

Active since November 05, 2015
326 N. FERRY ST, GRAND HAVEN, MI 49417(616) 846-2701(616) 246-8009 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Costello Dental Hygienist NPPES

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

LISA COSTELLO DENTAL HYGIENIST (NPI 1760855225) is an individual dental hygienist in Grand Haven, Michigan, licensed in Michigan (2902011931) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1760855225
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameLISA COSTELLOCredential: DENTAL HYGIENIST
Location Address326 N. FERRY STGrand Haven, MI 49417
Mailing Address326 N. Ferry StGrand Haven, MI 49417 · (616) 846-2701 · Fax (616) 246-8009
Fax(616) 246-8009
Sole ProprietorYes
Enumeration DateNovember 5, 2015
NPI 1760855225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in MI · 2902011931
Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

326 N. FERRY ST, Grand Haven, MI 49417

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 Lisa Costello's NPI number?

The NPI number for Lisa Costello is 1760855225. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Lisa Costello located?

Lisa Costello practices at 326 N. Ferry St, Grand Haven, MI 49417. The listed phone number is (616) 846-2701.

What is Lisa Costello's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Lisa Costello was last updated on November 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.