DR. GREG COSTOPOULOS D.D.S.
NPI 1851655609
Dentist - Orthodontics and Dentofacial Orthopedics in Novato, CA

Active since June 26, 2012
1730 NOVATO BLVD, SUITE I, NOVATO, CA 94947(415) 897-4191(415) 897-4192 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Greg Costopoulos D.d.s. NPPES

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

DR. GREG COSTOPOULOS D.D.S. (NPI 1851655609) is an individual orthodontics and dentofacial orthopedics provider in Novato, California, licensed in California (39248) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1851655609
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. GREG COSTOPOULOSCredential: D.D.S.
Location Address1730 NOVATO BLVD, SUITE INovato, CA 94947-3048
Mailing Address1730 Novato Blvd, Suite INovato, CA 94947-3048 · (415) 897-4191 · Fax (415) 897-4192
Fax(415) 897-4192
Sole ProprietorYes
Enumeration DateJune 26, 2012
Last NPPES UpdateJune 26, 2014
NPI 1851655609 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 CA · 39248
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.

1730 NOVATO BLVD, Novato, CA 94947

Other Providers at the Same Location NPPES 5

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

Optometrist
1730 NOVATO BLVD, SUITE C
NOVATO, CA 94947
Dentist
1730 NOVATO BLVD, STE. K
NOVATO, CA 94947
Dentist (Periodontics)
1730 NOVATO BLVD, SUITE G
NOVATO, CA 94947
Dentist (General Practice)
1730 NOVATO BLVD, SUITE H
NOVATO, CA 94947
Dentist (Orthodontics and Dentofacial Orthopedics)
1730 NOVATO BLVD, SUITE I
NOVATO, CA 94947

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851655609, enumerated as an "individual" on June 26, 2012.

The provider is located at 1730 NOVATO BLVD SUITE I NOVATO, CA 94947 and the phone number is (415) 897-4191.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.