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

Jackie Janet Kostenko, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063306348

Jackie Janet Kostenko, DDS is a Student in an Organized Health Care Education/Training Program in Miami, Florida. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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.

See every abbreviation used in this directory →

Practice location Address checks out

1201 NW 16th St
Miami, FL 33125-1624
Phone: (305) 575-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063306348
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 3, 2025
Certification dateMay 26, 2025

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