Provider Demographics
NPI:1730863986
Name:VILKIALIS, ANDRIUS (DMD)
Entity type:Individual
Prefix:
First Name:ANDRIUS
Middle Name:
Last Name:VILKIALIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 GARLAND CIR
Mailing Address - Street 2:
Mailing Address - City:INDIAN ROCKS BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33785-2631
Mailing Address - Country:US
Mailing Address - Phone:727-331-3273
Mailing Address - Fax:
Practice Address - Street 1:12963 WALSINGHAM RD FL 33774
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-3538
Practice Address - Country:US
Practice Address - Phone:172-726-5330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-09
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN280681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice