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MIKE KOSTAKOS, DDS, P.C.
NPI 1295441822
Clinic/Center - Dental in Southfield, MI

Active since January 26, 2023
20307 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076(248) 559-1220(248) 559-4300 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mike Kostakos, Dds, P.c. NPPES

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

MIKE KOSTAKOS, DDS, P.C. (NPI 1295441822), doing business as Southfield Dentistry, P.c., is a healthcare organization registered as a dental in Southfield, Michigan and active in the NPI registry since January 2023. The organization lists Wala Salama, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1295441822
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMIKE KOSTAKOS, DDS, P.C.
Location Address20307 W 12 MILE RD STE 101Southfield, MI 48076-5407
Mailing Address20307 W 12 Mile Rd Ste 101Southfield, MI 48076-5407 · (248) 559-1220 · Fax (248) 559-4300
Phone(248) 559-1220
Fax(248) 559-4300
Organization SubpartNo
Authorized OfficialWala SalamaOffice Manager · (248) 559-1220
Enumeration DateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1295441822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
20307 W 12 MILE RD STE 101, Southfield, MI 48076
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Other Names 1

Doing Business AsSouthfield Dentistry, P.c.

Other Identifiers 1

Medicaid1700932241MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VERONICA SABRINA JABERO DDS
Dentist (General Practice)
20307 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076
Oakland County (248) 559-1220
MICHELLE ELIZABETH MUKHTAR
Dentist
20307 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076
Oakland County (248) 775-2358
SARADA GULLAPALLI, M.D.,PLLC
Internal Medicine
20307 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076
Oakland County (248) 350-9400

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 Mike Kostakos, Dds, P.C.'s NPI number?

The NPI number for Mike Kostakos, Dds, P.C. is 1295441822. It was assigned to this organization in the NPPES registry on January 26, 2023. The provider is doing business as Southfield Dentistry, P.C..

Where is Mike Kostakos, Dds, P.C. located?

Mike Kostakos, Dds, P.C. is located at 20307 W 12 Mile Rd Ste 101, Southfield, MI 48076. The listed phone number is (248) 559-1220.

What is Mike Kostakos, Dds, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Mike Kostakos, Dds, P.C. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Mike Kostakos, Dds, P.C. 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 Mike Kostakos, Dds, P.C. was last updated on January 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.