| Robert Vance Costello, Dds, Apdc | |
|
7699 Highway 2 Farmerville LA 71241-6165 | |
| (318) 368-9518 | |
| (318) 368-4480 |
| Full Name | Robert Vance Costello, Dds, Apdc |
|---|---|
| Speciality | Dentist |
| Location | 7699 Highway 2, Farmerville, Louisiana |
| Authorized Official Name and Position | Carla Costello (OFFICE MANAGER) |
| Authorized Official Contact | 3183689518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Vance Costello, Dds, Apdc 7699 Highway 2 Farmerville LA 71241-6165 Ph: (318) 368-9518 | Robert Vance Costello, Dds, Apdc 7699 Highway 2 Farmerville LA 71241-6165 Ph: (318) 368-9518 |
| NPI Number | 1992038467 |
|---|---|
| Provider Enumeration Date | 09/15/2009 |
| Last Update Date | 09/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992038467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5630 (Louisiana) | Primary |
Nela Dental Of Farmerville, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7699 Highway 2, Farmerville, LA 71241 Phone: 318-368-9518 Fax: 318-368-4480 |