PREETI K SASTRY (NPI# 1639426760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639426760 |
| Entity Type | Individual |
| Full Name | PREETI K SASTRY |
| Credential | DDS |
| Practice Address |
102 West Broaddus Avenue Suite 200 Bowling Green VA 22427 |
| Practice Telephone | 8046321030 |
| Practice Fax Number | 8046321033 |
| Mailing Telephone | 8046321030 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2016-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401413601 | VA | Dental Providers |
| Street Address |
102 WEST BROADDUS AVENUE SUITE 200 |
| City | BOWLING GREEN |
| State | VA |
| Zip Code | 22427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295891513 | Latisha Shintrell Martin | Dentist | 102 West Broaddus Avenue, Suite 200, Bowling Green, VA 22427 | 2006-12-29 |
| 1982096533 | Dannette Schmidt | Nurse Practitioner | 102 West Broaddus Avenue, Suite 200, Bowling Green, VA 22427 | 2015-02-19 |
| 1952535916 | Central Virginia Health Services Inc | Clinic/Center | 102 West Broaddus Avenue, Suite 200, Bowling Green, VA 22427-9404 | 2009-05-06 |
| 1962664177 | Rachna Dhar | Internal Medicine | 102 West Broaddus Avenue, Carolina Family Practice, Bowling Green, VA 22427 | 2008-06-28 |
| 1891963435 | Rachel Huot | Family Medicine | 102 West Broaddus Avenue, Suite 200, Bowling Green, VA 22427-1596 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811508 | Elvia Arevalo | Dentist | Ingenieros 201-6, Tijuana, BAJA CALIFORNIA 22427 | 2020-11-02 |
| 1225639784 | Pamela Moreno | Dentist | Calzada Tecnologico 13701, Tijuana, BAJA CALIFORNIA 22427 | 2020-11-02 |
| 1639725963 | Paul T Harvey | Internal Medicine | Caroline Detention Facility, 11093 Sw Lewis Memorial Drive, Bowling Green, VA 22427 | 2019-08-13 |
| 1760960033 | Melissa Macias | Dentist | Tecnologico #14527 L 34, Tijuana, BAJA CALIFORNIA 22427 | 2018-07-30 |
| 1386158319 | Karla Castillo | Dentist | Calzada Tecnologico 811, Otay Universidad, Tijuana, BAJA CALIFORNIA 22427 | 2017-11-29 |
| 1609327527 | Jessica Y Figueroa Diaz | Dentist | Calle Sociologos # 308, Otay Universidad, Tijuana, BAJA CALIFORNIA 22427 | 2016-10-14 |
| 1639476989 | Barbara Helen Hiestand | Social Worker | 102 West Broaddus Ave. Ste. 200, Bowling Green, VA 22427 | 2011-02-23 |
| 1811092109 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 102 Broaddus Avenue, Bowling Green, VA 22427 | 2006-09-13 |
| 1629181557 | Medical Facilities of America Xl | Skilled Nursing Facility | 120 Anderson Ave., Bowling Green, VA 22427 | 2006-08-16 |
| 1194725747 | Douglas Avery & Associates Ltd | Clinic/Center | 121 Courthouse Lane, Bowling Green, VA 22427 | 2005-07-26 |
| Find all providers in zip 22427 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057147 | Keegan Chandler | Dentist | 1785 Campbell Ln Ste 100, Bowling Green, KY 42104-1091 | 2018-06-18 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1164770103 | Dr. William Kelley Cherry | Dentist | 1640 Scottsville Rd. Suite 300, Suite 300, Bowling Green, KY 42104 | 2012-08-23 |
| 1023384815 | Michael W. Howell, D.m.d. | Dentist | 952 Us 31 W Bypass, Bowling Green, KY 42102-4939 | 2012-03-27 |
| 1942579172 | Andrew M Burt Dmd Psc | Dentist | 546 Park St Ste 400, Bowling Green, KY 42101-1780 | 2011-12-16 |
| 1124304555 | Surpreet Kaur | Dentist | 1111 S Main St Ste 330, Bowling Green, OH 43402-4747 | 2011-10-31 |
| 1114169661 | Commonwealth Health Free Clinic, Inc | Dentist | 740 E 10th Ave, Bowling Green, KY 42101-2318 | 2009-03-30 |
| 1104020114 | Daniel Joseph Simon | Dentist | 625 Three Springs Rd, Bowling Green, KY 42104 | 2007-06-13 |
| 1053538793 | Ronald L Yaeger | Dentist | 1064 U S 31 West By Pass, Bowling Green, KY 42101-2418 | 2007-04-20 |
| 1932221751 | George Thomas Ransdell | Dentist | 2601 Nashville Rd, Bowling Green, KY 42101-4036 | 2007-04-04 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 22427 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.