Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275909467 Individual Practitioner Male Practitioner

Dr. Georgios Kotsakis , DDS, PhD

Dentist - Periodontics • Newark, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Georgios Kotsakis, DDS, PhD is a registered healthcare professional specializing in Dentist - Periodontics in Newark, NJ. Practice services are available at 110 BERGEN STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

110 Bergen Street

Newark, NJ 07103

Telephone 9739724242
Associated Practice Facility / Clinic
🏢 Univ Of Med & Dent Of Nj Facility NPI 1194078709

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Newark, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Newark, NJ (306 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-06
Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License NJ 01644

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Dentist - Periodontics

NUCC Taxonomy Code: 1223P0300X

State License WA DF60582867

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1159275 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Hui Li

Dentist - General Practice

NPI 1063263911
Chad Vitiello

Student in an Organized Health Care Education/Training Program

NPI 1063279446
Dr. Winnie Zhang , DMD

Student in an Organized Health Care Education/Training Program

NPI 1073003240

Doctor of Dental Medicine

Dr. Iris Wong , DMD

Student in an Organized Health Care Education/Training Program

NPI 1073309639

Doctor of Dental Medicine

Dr. Viveka Patel , DMD

Student in an Organized Health Care Education/Training Program

NPI 1154944783

Doctor of Dental Medicine

Dr. Urvashi Keswani , DDS, BDS

Dentist - Periodontics

NPI 1174262117

Doctor of Dental Surgery, BDS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 06, 2026

Registered at 110 BERGEN STREET, NEWARK, NJ 07103 (Tel: 9739724242)

📍
Updated Business Mailing Address May 06, 2026

Registered at 110 BERGEN STREET, D800, NEWARK, NJ 07103 (Tel: 9739727224)

👤
Provider Name / Credentials Updated May 06, 2026

Recorded as GEORGIOS KOTSAKIS, DDS, PHD

NPI Profile Active August 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2015

Registered at 1959 NE PACIFIC ST, BOX, 357444, SEATTLE, WA 981957444 (Tel: 2066169412)

📍
Updated Business Mailing Address August 11, 2015

Registered at 1959 NE PACIFIC ST, BOX, 357444, SEATTLE, WA 981957444 (Tel: 2066169412)

👤
Provider Name / Credentials Updated August 11, 2015

Recorded as GEORGIOS KOTSAKIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2015

Dentist (License #DF60582867 in WA)

🟢
Initial NPI Registration & Enumeration August 11, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275909467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2015
Last Update: May 06, 2026
Sole Proprietor: No

Mailing Address

110 Bergen Street, D800

Newark, NJ 07103

Phone: 9739727224

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.