Dr Kenneth S Costa, DMD is a
Dentist based in Dunellen, New Jersey. Dr Kenneth S Costa is licensed to practice in New Jersey (license number 11853) and his current practice location is
220 N Washington Ave, Dunellen, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(732) 968-1115.
NPI number for Dr Kenneth S Costa is 1790887941 and his current mailing address is 8 John Stevens Road, Whitehouse St, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790887941.
Healthcare Provider's Profile
| Full Name | Dr Kenneth S Costa |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 220 N Washington Ave, Dunellen, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790887941
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 09/23/2009
Medical Identifiers
Medical identifiers for Dr Kenneth S Costa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790887941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 11853 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth S Costa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Kenneth S Costa, DMD 8 John Stevens Road, Whitehouse St, NJ 08889 Ph: (908) 534-1127 | Dr Kenneth S Costa, DMD 220 N Washington Ave, Dunellen, NJ 08812-1246 Ph: (732) 968-1115 |
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