OrganizationActive
Mike Kostakos, DDS, P.C.
NPI 1295441822 · Dental Clinic/Center · Southfield, MI
Mike Kostakos, DDS, P.C. is a Dental Clinic/Center organization in Southfield, MI (NPI 1295441822).
Provider details
- NPI number
- 1295441822
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wala Salama, Office Manager(248) 559-1220
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20307 W 12 Mile Rd Ste 101
Southfield, MI 48076-5407
Phone: (248) 559-1220
Fax: (248) 559-4300
Street-level locationGet directions
Mailing address
20307 W 12 Mile Rd Ste 101
Southfield, MI 48076-5407
Other names (DBA / former)
- Doing business as
- Southfield Dentistry, P.C.
Registry dates
- Enumerated
- 2023-01-26
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Frequently asked questions
- What is Mike Kostakos, DDS, P.C.'s NPI number?
- Mike Kostakos, DDS, P.C.'s National Provider Identifier (NPI) is 1295441822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mike Kostakos, DDS, P.C.?
- Mike Kostakos, DDS, P.C. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mike Kostakos, DDS, P.C. located?
- Mike Kostakos, DDS, P.C.'s practice location on file with NPPES is 20307 W 12 Mile Rd Ste 101, Southfield, MI 48076-5407.
- What is Mike Kostakos, DDS, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Mike Kostakos, DDS, P.C. is (248) 559-1220.
- Who is the authorized official for Mike Kostakos, DDS, P.C.?
- The authorized official listed on Mike Kostakos, DDS, P.C.'s NPPES record is Wala Salama, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mike Kostakos, DDS, P.C.'s NPI active?
- Yes — Mike Kostakos, DDS, P.C.'s NPI (1295441822) is active in the NPPES registry as of the last update on 2023-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.