Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235385980 Individual Practitioner Female Practitioner

Dr. Chanda J Costello , DMD

Dentist - General Practice • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Chanda Costello, DMD is a registered healthcare professional specializing in Dentist - General Practice in Portland, OR. Practice services are available at 10211 SW PARK WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10211 Sw Park Way

Portland, OR 972255009

Telephone 5032036978
Associated Practice Facility / Clinic
🏢 B And T Llc Facility NPI 1063921823

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
448 Specialists

Practicing in Portland, OR (1994 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 OR D9133

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
Dr. Eduardo Mulero , DDS

Dentist - General Practice

NPI 1265406508

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2017

Registered at 10211 SW PARK WAY, PORTLAND, OR 972255009 (Tel: 5032036978)

📍
Updated Business Mailing Address March 05, 2017

Registered at 10211 SW PARK WAY, PORTLAND, OR 972255009 (Tel: 5032036978)

👤
Provider Name / Credentials Updated March 05, 2017

Recorded as CHANDA COSTELLO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2017

Dentist (License #D9133 in OR)

NPI Profile Active November 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2015

Registered at 22213 SW 107TH AVE, TUALATIN, OR 970628394 (Tel: 3606077670)

📍
Updated Business Mailing Address November 20, 2015

Registered at 22213 SW 107TH AVE, TUALATIN, OR 970628394 (Tel: 3606077670)

👤
Provider Name / Credentials Updated November 20, 2015

Recorded as CHANDA COSTELLO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2015

Dentist (License #D9133 in OR)

🟢
Initial NPI Registration & Enumeration August 13, 2008

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: 1235385980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2008
Last Update: March 05, 2017
Sole Proprietor: No

Mailing Address

10211 Sw Park Way

Portland, OR 972255009

Phone: 5032036978

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.