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Deactivated NPI 1013102136 Deactivated / Inactive NPI Male Practitioner

Carl Albert Costanza

Dentist • Lynn, MA

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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, Carl Costanza has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 11, 2007
NPI Deactivation Date April 19, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Carl Costanza was a registered Dentist practicing in Lynn, MA. Throughout an active medical career spanning 15 years, Carl Costanza provided care at the practice location at 290 OCEAN ST until profile deactivation on 2022-04-19.

Practice Location & Contact Primary Location

Practice Address

290 Ocean St

Lynn, MA 019023262

Telephone 7815934300
Fax 7815934301

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lynn, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
55 Specialists

Practicing in Lynn, MA (3030 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA 8642

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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 April 19, 2022

Record deactivated on April 19, 2022

NPI Profile Active September 11, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 11, 2007

Registered at 290 OCEAN ST, LYNN, MA 019023262 (Tel: 7815934300)

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Updated Business Mailing Address September 11, 2007

Registered at 290 OCEAN ST, LYNN, MA 019023262 (Tel: 7815934300)

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Provider Name / Credentials Updated September 11, 2007

Recorded as CARL COSTANZA

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2007

Dentist (License #8642 in MA)

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Initial NPI Registration & Enumeration September 11, 2007

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: 1013102136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2007
Last Update: September 11, 2007
Deactivation Date: April 19, 2022

Mailing Address

290 Ocean St

Lynn, MA 019023262

Phone: 7815934300

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.