Mr. Fredrick William Costello, D.D.S.
Mr. Fredrick William Costello is a General Practice Dentistry provider (Dentist) practicing in Ormond Beach, FL, registered in the NPPES registry with NPI 1245243401 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1245243401 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Fredrick William Costello |
| Credential | D.D.S. |
| Sex | Male |
| Practice address | 1089 W GRANADA BLVD, SUITE 1, Ormond Beach, FL, 32174 |
| Phone | 3866731611 |
| Fax | 3866723543 |
| Enumeration date | 2006-08-15 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | DN6323 | FL |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Fredrick Costello, D.D.S. NPI: 1245243401 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 1089 W GRANADA BLVD, SUITE 1, Ormond Beach, FL, 32174
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073503983 | Michael Cady | Individual | Optometrist | Ormond Beach, FL |
| 1285609461 | Florida Eye Clinic P A | Organization | Optometrist | Ormond Beach, FL |
| 1891853065 | Leslie Burton | Individual | Specialist | Ormond Beach, FL |
| 1073798518 | Kraski, Costello & Drake, PA | Organization | General Practice Dentistry | Ormond Beach, FL |
| 1033386693 | Daniel Drake | Individual | General Practice Dentistry | Ormond Beach, FL |
Verify this record
Cross-check NPI 1245243401 against the authoritative CMS record: view Mr. Fredrick William Costello on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.