Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Vilas Sastry, DMD

Individual provider Dentist · NPI 1104921279

Dr. Vilas Sastry, DMD is a Dentist in Kenosha, Wisconsin. Works from 2 locations. Licensed in Illinois, Nevada and Wisconsin.

Licensed in
IL, NV, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

6121 7th Ave
Kenosha, WI 53143-4506
Phone: (262) 654-6535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1002728 (WI)
Dentist Taxonomy 122300000X · Licence 5053 (NV)
Dentist Taxonomy 122300000X · Licence 019033030 (IL)

Record details

NPI number1104921279
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023
Mailing address2828 Woodmere Ct, Northbrook, IL 60062-6447

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