IndividualActive
Massimo Costalonga, D.M.D., PH.D.
NPI 1649563040 · Periodontics · Minneapolis, MN
Provider details
- NPI number
- 1649563040
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D., PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D11846 (MN)
Specialties & taxonomies
Dental Providers
Practice location
516 Delaware St Se
7-300 Pwb
Minneapolis, MN 55455-0356
Phone: (612) 626-3233
Approximate (ZIP-level) locationGet directions
Mailing address
515 Delaware St Se
Minneapolis, MN 55455-0357
Registry dates
- Enumerated
- 2011-05-18
- Last updated
- 2011-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.