Provider Demographics
NPI:1366139065
Name:PILLY YADAIAH, VINAY KUMAR (DDS, MPH, MSC)
Entity type:Individual
Prefix:DR
First Name:VINAY
Middle Name:KUMAR
Last Name:PILLY YADAIAH
Suffix:
Gender:M
Credentials:DDS, MPH, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 CLINTON ST UNIT 4401
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-1076
Mailing Address - Country:US
Mailing Address - Phone:225-614-1727
Mailing Address - Fax:
Practice Address - Street 1:701 INDIAN TRL STE C
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-3054
Practice Address - Country:US
Practice Address - Phone:254-944-2443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX413431223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentist
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty