Provider Demographics
NPI:1780578054
Name:VANIURSKAYA, YULIYA VICTOROVNA (DDS)
Entity type:Individual
Prefix:
First Name:YULIYA
Middle Name:VICTOROVNA
Last Name:VANIURSKAYA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6830 COUNTRYSIDE AVE UNIT 204
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-8913
Mailing Address - Country:US
Mailing Address - Phone:307-299-2174
Mailing Address - Fax:
Practice Address - Street 1:7112 COMMONS CIR
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-2641
Practice Address - Country:US
Practice Address - Phone:307-412-0961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY16951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice