MARINA LOUISE KOSTUROS
NPI 1104520774
Dentist - Orthodontics and Dentofacial Orthopedics in Valrico, FL

Active since March 28, 2023
2220 BLOOMINGDALE AVE STE B, VALRICO, FL 33596(813) 681-1300 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 3, 2025, Mar 28, 2023 (2 updates tracked since 2023).

About Marina Louise Kosturos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINA LOUISE KOSTUROS (NPI 1104520774) is an individual orthodontics and dentofacial orthopedics provider in Valrico, Florida, licensed in Colorado (DEN.00204859) and active in the NPI registry since March 2023. She maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1104520774
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameMARINA LOUISE KOSTUROS
Location Address2220 BLOOMINGDALE AVE STE BValrico, FL 33596-6212
Mailing Address2220 Bloomingdale Ave Ste BValrico, FL 33596-6212 · (813) 681-1300
Sole ProprietorNo
Enumeration DateMarch 28, 2023
Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
NPI 1104520774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CO · DEN.00204859
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
2220 BLOOMINGDALE AVE STE B, Valrico, FL 33596

Secondary Practice Location 1

Location 112904 Race Track RdTampa, FL 33626-1305 · Phone (813) 443-5050

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marina Kosturos's NPI number?

The NPI number for Marina Kosturos is 1104520774. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Marina Kosturos located?

Marina Kosturos practices at 2220 Bloomingdale Ave Ste B, Valrico, FL 33596. The listed phone number is (813) 681-1300.

What is Marina Kosturos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Marina Kosturos accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 3 other insurers list Marina Kosturos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marina Kosturos was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.