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NPI Code Detail

MEDICARE: DR. CELESTE KOSTELNIK DMD

MEDICARE:  DR. CELESTE  KOSTELNIK  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDS036640PA
2122300000XDentist30.025237OH

General Provider Information

NPI Number : 1518058684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CELESTE KOSTELNIK DMD
Provider Business Mailing Address
First Line : 169 PROGRESS DR
Second Line :
City : WAYNESBURG
State : PA
Zip : 15370-8082
Country : US
Telephone Number : 724-825-2902
Fax Number :
Provider Business Practice Location Address
First Line : 1205 BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44052-3409
Country : US
Telephone Number : 440-240-1655
Fax Number : 440-240-1663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 03/07/2023

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Directions to “ DR. CELESTE KOSTELNIK DMD” Practice Location

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