IndividualActive
Fredrick Costello, D.D.S.
NPI 1245243401 · General Practice Dentistry · Ormond Beach, FL
Fredrick Costello, D.D.S. is a General Practice Dentistry provider in Ormond Beach, FL (NPI 1245243401).
Provider details
- NPI number
- 1245243401
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- DN6323 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1089 W Granada Blvd
Suite 1
Ormond Beach, FL 32174-8116
Phone: (386) 673-1611
Fax: (386) 672-3543
Street-level locationGet directions
Mailing address
1089 W Granada Blvd
Ormond Beach, FL 32174-8116
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2007-07-08
Frequently asked questions
- What is Fredrick Costello's NPI number?
- Fredrick Costello's National Provider Identifier (NPI) is 1245243401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fredrick Costello's specialty?
- Fredrick Costello is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Fredrick Costello located?
- Fredrick Costello's practice location on file with NPPES is 1089 W Granada Blvd, Ormond Beach, FL 32174-8116.
- What is Fredrick Costello's phone number?
- The practice phone number listed in the NPPES registry for Fredrick Costello is (386) 673-1611.
- Is Fredrick Costello's NPI active?
- Yes — Fredrick Costello's NPI (1245243401) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.