Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PHOENIX ADVANCED INC
Active
Organization
PHOENIX ADVANCED INC
Active
Other names
Haines City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P COSTELLO DDS (PRESIDENT)
(352) 408-1400
Entity
Organization
Contact information
Practice address
35915 US HWY 27, SUITE 2B, HAINES CITY, FL 33844-3737
(863) 422-8338
(863) 422-5268
Mailing address
35915 US HWY 27, SUITE 2B, HAINES CITY, FL 33844-3737
(863) 422-8338
(863) 422-5268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up