Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Basilios C Costaras, DDS

Individual provider General Practice Dentistry · NPI 1053644880

Dr. Basilios C Costaras, DDS is an Oral Surgery in Phoenix, Arizona. Graduated from Case Western University School of Dental Medicine in 1987, 39 years ago. Practices with Southwest Orofacial Group Inc, a 4-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
39
Trained at
Case Western University School of Dental Medicine
Licensed in
AZ
In the registry since
2009
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

10214 N Tatum Blvd Ste A1100
Phoenix, AZ 85028-4243
Phone: (602) 992-1486
Fax: (602) 992-6604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6116 E Arbor Ave Ste 110, Mesa, AZ 85206-6103 — (602) 992-1486
  • 20470 N Lake Pleasant Rd Ste 110, Peoria, AZ 85382-9708 — (602) 992-1486

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D008677 (AZ)
General Practice Dentistry Taxonomy 1223G0001X · Licence D008677 (AZ)
Orofacial Pain Dentistry Taxonomy 1223X2210X · Licence D008677 (AZ)

Record details

NPI number1053644880
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 11, 2009
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address10214 N Tatum Blvd Ste A1100, Phoenix, AZ 85028-4243

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolCASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated 1987 (39 years in practice)
Group practice Southwest Orofacial Group Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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