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Contact Information

DEBORAH A PHILO COSTELLO, DDS
101 S MOORE AVE
CLAREMORE, OK74017-5047
 Phone: 918-342-6400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for DEBORAH A PHILO COSTELLO · (Female)

NPI # 1053421214
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 7471
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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