| Sean Costello | |
|
7104 S Sheridan Suite 8 Tulsa OK 74133 | |
| (918) 492-3752 | |
| (918) 492-4538 |
| Full Name | Sean Costello |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7104 S Sheridan, Tulsa, Oklahoma |
| Authorized Official Name and Position | Sean Costello (PRESIDENT) |
| Authorized Official Contact | 9184923752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Costello 7104 S Sheridan Suite 8 Tulsa OK 74133 Ph: (918) 492-3752 | Sean Costello 7104 S Sheridan Suite 8 Tulsa OK 74133 Ph: (918) 492-3752 |
| NPI Number | 1316069891 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316069891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5475 (Oklahoma) | Primary |
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