IndividualActive
George Kostakis, DDS
NPI 1053405480 · General Practice Dentistry · Palm Harbor, FL
Provider details
- NPI number
- 1053405480
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN11104 (FL)
Specialties & taxonomies
Dental Providers
Practice location
2626 Tampa Rd.
Suite 201
Palm Harbor, FL 34684
Phone: (727) 787-7434
Fax: (727) 787-7173
Approximate (ZIP-level) locationGet directions
Mailing address
1561 Canopy Oaks Blvd.
Palm Harbor, FL 34683
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.