Provider Demographics
NPI:1972551620
Name:CASTELLANO, JOSEPH B JR (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:B
Last Name:CASTELLANO
Suffix:JR
Gender:M
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:7002 MCPHERSON AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6442
Mailing Address - Country:US
Mailing Address - Phone:956-725-5035
Mailing Address - Fax:956-717-4106
Practice Address - Street 1:7002 MCPHERSON AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6442
Practice Address - Country:US
Practice Address - Phone:956-725-5035
Practice Address - Fax:956-717-4106
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX162491223P0221X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0911380-01Medicaid