Individual provider · Type 1 NPI

Vilas Sastry, DMD

Dentist · Kenosha, WI

NPI number 1104921279 Active

Practice location

6121 7th Ave
Kenosha, WI 53143-4506

Mailing address

2828 Woodmere Ct
Northbrook, IL 60062-6447

Other practice locations

  • 1301 N Alpine Rd, Rockford, IL 61107-2262 · (815) 397-4280

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X5053 (NV)
Dentist 122300000X019033030 (IL)
Dentist Primary 122300000X1002728 (WI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104921279

Vilas Sastry, DMD's National Provider Identifier is 1104921279, issued on Sep 14, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Kenosha, WI. The record was last updated on May 2, 2023.