Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Venkat Yashaswi Kondapalli

Individual provider General Practice Dentistry · NPI 1740704832

Dr. Venkat Yashaswi Kondapalli is a General Practice Dentistry in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017

Practice location Address checks out

1200 W Main St Ste 9
Peoria, IL 61606-1218
Phone: (309) 777-9777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019031291 (IL)

Record details

NPI number1740704832
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2017
Last updated in NPPESJuly 31, 2017

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