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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295412500

Emily Sam Kakos is a Student in an Organized Health Care Education/Training Program in Roseville, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

20861 E 13 Mile Rd
Roseville, MI 48066-4530
Phone: (586) 298-3277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 345 E 24th St, New York, NY 10010-4020 — (212) 998-9800

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901602266 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295412500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address4559 Wabeek Forest Dr, Bloomfield Hills, MI 48302-1782

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