OrganizationActive
Adrian J. Costanza
NPI 1356543458 · Orthodontics and Dentofacial Orthopedics Dentistry · Revere, MA
Provider details
- NPI number
- 1356543458
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Adrian Costanza, Orthodontist(978) 774-8266
- License
- 8910 (MA)
Specialties & taxonomies
Dental Providers
Practice location
48 Newhall St
Revere, MA 02151-2327
Phone: (781) 289-8050
Fax: (781) 289-8051
Approximate (ZIP-level) locationGet directions
Mailing address
48 Newhall St
Revere, MA 02151-2327
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.