Provider Demographics
NPI:1598752297
Name:CHIRNALLI, VINAY NAGAPPA (DMD)
Entity Type:Individual
Prefix:DR
First Name:VINAY
Middle Name:NAGAPPA
Last Name:CHIRNALLI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 W WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-5201
Mailing Address - Country:US
Mailing Address - Phone:919-380-8888
Mailing Address - Fax:919-380-3789
Practice Address - Street 1:916 W WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502
Practice Address - Country:US
Practice Address - Phone:919-380-8888
Practice Address - Fax:919-380-3789
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC81291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30303628Medicaid