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Deactivated NPI 1841240819 Deactivated / Inactive NPI Male Practitioner

Dr. Anthony Dicostanzo , DDS, PC

Dentist - General Practice • Dyer, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Anthony Dicostanzo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2006
NPI Deactivation Date May 07, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Dicostanzo, DDS, PC was a registered Dentist - General Practice practicing in Dyer, IN. Throughout an active medical career spanning 20 years, Dr. Dicostanzo provided care at the practice location at 1123 JOLIET ST until profile deactivation on 2026-05-07.

Practice Location & Contact Primary Location

Practice Address

1123 Joliet St

Dyer, IN 463111926

Telephone 2198653303
Fax 2198653244
Associated Practice Facility / Clinic
🏢 Anthony Dicostanzo Dds Pc Facility NPI 1306227129

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dyer, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Dyer, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12007851A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1366889321

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 07, 2026

Record deactivated on May 07, 2026

NPI Profile Active January 11, 2010

NPI status registered as active in NPPES database

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Updated Practice Location January 11, 2010

Registered at 1123 JOLIET ST, DYER, IN 463111926 (Tel: 2198653303)

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Updated Business Mailing Address January 11, 2010

Registered at 1123 JOLIET ST, DYER, IN 463111926 (Tel: 2198653303)

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Provider Name / Credentials Updated January 11, 2010

Recorded as ANTHONY DICOSTANZO, D.D.S., P.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2010

Dentist (License #12007851A in IN)

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Initial NPI Registration & Enumeration May 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841240819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2006
Last Update: January 11, 2010
Deactivation Date: May 07, 2026

Mailing Address

1123 Joliet St

Dyer, IN 463111926

Phone: 2198653303

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.