Individual provider · Type 1 NPI

Basilios C. Costaras, DDS

Oral and Maxillofacial Surgery (Dentist) · Phoenix, AZ

NPI number 1053644880 Active

Practice location

10214 N Tatum Blvd Ste A1100
Phoenix, AZ 85028-4243

Call (602) 992-1486 Map

Fax (602) 992-6604

Other practice locations

  • 20470 N Lake Pleasant Rd Ste 110, Peoria, AZ 85382-9708 · (602) 992-1486
  • 6116 E Arbor Ave Ste 110, Mesa, AZ 85206-6103 · (602) 992-1486

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XD008677 (AZ)
Orofacial Pain Dentistry 1223X2210XD008677 (AZ)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD008677 (AZ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2 other providers at this address

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About NPI 1053644880

Basilios C. Costaras, DDS's National Provider Identifier is 1053644880, issued on Sep 11, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 3, 2026.