Search › Arizona › 1223S0112X

Basilios Costaras, DDS

NPI 1053644880 · on the registry since 2009

Practice

Address
10214 N Tatum Blvd Ste A1100
Phoenix, AZ 85028
Phone
(602) 992-1486
Fax
(602) 992-6604
Organisation at this address
Hiem Dental Corp
Heart And Wellness Center Pllc
Southwest Orofacial Group, Inc.
Varsity Physical Therapy, L.L.C.
Comprehensive Interventional Care Centers, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Additional practice sites

  • 20470 N Lake Pleasant Rd Ste 110, Peoria, AZ
  • 6116 E Arbor Ave Ste 110, Mesa, AZ

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
1223G0001X
1223X2210X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona