Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mike Kostakos, DDS, PC

Organization Dental Clinic/Center · NPI 1295441822

Mike Kostakos, DDS, PC is a Dental Clinic/Center in Southfield, Michigan. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20307 W 12 Mile Rd Ste 101
Southfield, MI 48076-5407
Phone: (248) 559-1220
Fax: (248) 559-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1295441822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wala Salama — Office Manager · (248) 559-1220
Other names Southfield Dentistry, P.C.
NPI enumeratedJanuary 26, 2023
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address20307 W 12 Mile Rd Ste 101, Southfield, MI 48076-5407

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