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

Dr. Mario Endiakov, DMD

Individual provider Dentist · NPI 1194217166

Dr. Mario Endiakov, DMD is a Dentist in Detroit, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois and Michigan.

Licensed in
IL, MI
In the registry since
2018
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

13874 Grand River Ave
Detroit, MI 48227-3123
Phone: (313) 834-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 — (313) 494-6700

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901602634 (MI)
Dentist Taxonomy 122300000X · Licence 019031843 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2901602634 (MI)

Record details

NPI number1194217166
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 5, 2018
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

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