# JAY VAIKUNTAM DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447168026
- **Authorized official:** CASSANDRA WIETH (DIRECTOR OF PAYER RELATIONS)
- **Authorized official phone:** (623) 267-8121

## Contact information

- **Practice address:** 155 HICKORY ST NW STE A, ALBANY, OR 97321-1724
- **Practice address phone:** (541) 928-1509
- **Practice address fax:** (541) 928-1522
- **Mailing address:** 155 HICKORY ST NW STE A, ALBANY, OR 97321-1724
- **Mailing address phone:** (541) 928-1509
- **Mailing address fax:** (541) 928-1522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2026
- **Last updated:** 09/01/2026