Individual provider · Type 1 NPI

Vasilios A. Kostakis, DDS

Oral and Maxillofacial Surgery (Dentist) · Elmhurst, NY

NPI number 1861815888 Active

Practice location

6070 Woodhaven Blvd Ste C2
Elmhurst, NY 11373-5545

Fax (718) 997-9710

Other practice locations

  • 27005 76th Ave, Division Of Oral And Maxillofacial Surgery, New Hyde Park, NY 11040-1402 · (718) 470-7113

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X059920 (NY)

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.

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About NPI 1861815888

Vasilios A. Kostakis, DDS's National Provider Identifier is 1861815888, issued on Jan 27, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Elmhurst, NY. The record was last updated on Sep 16, 2020.