Cosmet Enterprise LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COSMET ENTERPRISE LLC

Doing business as

Magnolia Dental

Practice address

10250 SE 167TH Place Rd
Suite 3
Summerfield, FL 34491-8682

Phone

(352) 245-0780

Fax

(352) 347-8369

NPI assigned

Mar 26, 2008

Last updated

Mar 26, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James P Costello, DDSNPI 1457600041

Title

Member

Phone

(352) 408-1400

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Paul Costello, DDS

  • Dentist
  • The Villages, FL
  • NPI 1457600041
  Authorized official Same address or phone
• Yosvel Blanco Sanchez, D.M.D.

  • Dentist
  • Summerfield, FL
  • NPI 1295116200
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1316119795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD",
            "address_2": "SUITE 3",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-245-0780",
            "fax_number": "352-347-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD",
            "address_2": "SUITE 3",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-245-0780",
            "fax_number": "352-347-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMET ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "352-408-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Clevinger-Magin, ST
• Brenda M Collins, DPT
• Comfort Care Medical Equipment & Uniforms, Inc (Active Home Medical)
• Comfortable Care Dental Health Professionals, P.a. (Summerfield Dental Care)
• Alba R Cordero Sanz
• Crown Medical Solutions, LLC
• Nicole Cruz, OTRL
• Csi Nurse World, Inc. (Help at Home)
• Kellyann Curnayn, DNP, APRN-BC
• Margo Dandreano, LM, CPM

• General Practice Dentistry in Summerfield, FL
• Providers in Summerfield, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.