Dr. Angelo Arthur Costanzo , DDS
Dentist - General Practice • Scranton, PA
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. Angelo Costanzo has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Angelo Costanzo, DDS was a registered Dentist - General Practice practicing in Scranton, PA. Throughout an active medical career spanning 11 years, Dr. Costanzo provided care at the practice location at 311 NORTH MAIN AVENUE until profile deactivation on 2018-03-14.
Practice Location & Contact Primary Location
311 North Main Avenue
Scranton, PA 18504
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Scranton, PA
Practicing in Scranton, PA (4936 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 14, 2018
NPI status registered as active in NPPES database
Registered at 311 NORTH MAIN AVENUE, SCRANTON, PA 18504 (Tel: 5703471931)
Registered at 311 NORTH MAIN AVENUE, SCRANTON, PA 18504 (Tel: 5703471931)
Recorded as ANGELO COSTANZO, DDS
Dentist (License #DS014782L in PA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
311 North Main Avenue
Scranton, PA 18504
Phone: 5703471931
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