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

Dr. Michael J Costa Jr., DDS

Individual provider Dentist · NPI 1851705834

Dr. Michael J Costa Jr., DDS is a Dentist in Knoxville, Tennessee. Practices as a sole proprietor. Licensed in North Carolina and Tennessee.

Licensed in
NC, TN
In the registry since
2014
Specialties on file
2
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

264 S Peters Rd
Knoxville, TN 37923-5203
Phone: (865) 539-1776
Fax: (865) 539-1858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10644 (TN)
Dentist Taxonomy 122300000X · Licence 9738 (NC)

Record details

NPI number1851705834
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 17, 2014
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

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