Individual provider · Type 1 NPI

Venkat Yashaswi Kondapalli

General Practice Dentistry · Peoria, IL

NPI number 1740704832 Active

Practice location

1200 W Main St Ste 9
Peoria, IL 61606-1218

Call (309) 777-9777 Map

Mailing address

9701 N Lantana Ln Apt 10201
Peoria, IL 61615-7421

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	019031291 (IL)

General Practice Dentistry: 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.

4 other providers at this address

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About NPI 1740704832

Venkat Yashaswi Kondapalli's National Provider Identifier is 1740704832, issued on Jul 31, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peoria, IL. The record was last updated on Jul 31, 2017.