Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dr. Luis Antonio Costales Sr., DMD

Individual provider Dentist · NPI 1215886734

Dr. Luis Antonio Costales Sr., DMD is a Dentist in Fort Bragg, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone: (910) 907-8707
Fax: (910) 907-6069
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 15013 (NC)

Record details

NPI number1215886734
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 27, 2026
Last updated in NPPESSeptember 26, 2026
Certification dateSeptember 26, 2026

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