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

Dr. Mikaela Kofman, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1942861612

Dr. Mikaela Kofman, DMD is an Oral and Maxillofacial Surgery (Dentist) in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone: (313) 745-4697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2901600522 (MI)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 1741998 (MI)

Record details

NPI number1942861612
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 24, 2019
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

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