Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEAN P KOSTAKOS, D.P.M.
Active Sole ProprietorDR. DEAN P KOSTAKOS, D.P.M. is a Podiatrist healthcare provider located in ROSWELL, Georgia. NPI 1417056847 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · ROSWELL, GA
Registration Details
- NPI Number
- 1417056847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2006 (19.870150815275 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
POD000605 (GA)POD000605 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1380 UPPER HEMBREE RDROSWELL, GA, 300761146Browse GA providers · Browse ZIP 30076
- Phone
- 7703467500
- Fax
- 7703468800
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Other Podiatrist Providers in ROSWELL, GA
| Name | Credential | NPI |
|---|---|---|
| JOEL E SCHANCUPP | — | 1972584498 |
| MITCHELL P. HILSEN | D.P.M. | 1558327809 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.