Provider Demographics
NPI:1124226071
Name:VILARDO, JOSEPH SALVATORE (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SALVATORE
Last Name:VILARDO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1487 COLVIN BLVD
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1141
Mailing Address - Country:US
Mailing Address - Phone:716-873-7814
Mailing Address - Fax:716-873-1578
Practice Address - Street 1:1487 COLVIN BLVD
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14223-1141
Practice Address - Country:US
Practice Address - Phone:716-873-7814
Practice Address - Fax:716-873-1578
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041117122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist