Individual provider · Type 1 NPI

Jackie Janet Kostenko, DDS

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1063306348 Active

Practice location

1201 NW 16th St
Miami, FL 33125-1624

Call (305) 575-7000 Map

Mailing address

3645 NW 36th St
Miami, FL 33142-4953

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063306348

Jackie Janet Kostenko, DDS's National Provider Identifier is 1063306348, issued on Jun 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Jun 3, 2025.