| Jay Vaikuntam DDS PC | |
|
155 Hickory St Nw Ste A Albany OR 97321-1724 | |
| (541) 928-1509 | |
| (541) 928-1522 |
| Full Name | Jay Vaikuntam DDS PC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 155 Hickory St Nw Ste A, Albany, Oregon |
| Authorized Official Name and Position | Cassandra Wieth (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 6232678121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Vaikuntam DDS PC 155 Hickory St Nw Ste A Albany OR 97321-1724 Ph: (541) 928-1509 | Jay Vaikuntam DDS PC 155 Hickory St Nw Ste A Albany OR 97321-1724 Ph: (541) 928-1509 |
| NPI Number | 1447168026 |
|---|---|
| Provider Enumeration Date | 09/01/2026 |
| Last Update Date | 09/01/2026 |
| Certification Date | 09/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447168026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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