Individual provider · Type 1 NPI

Poornima Jayaprakash

General Practice Dentistry · Racine, WI

NPI number 1417014572 Active

Practice location

6218 Washington Ave, Suite C
Racine, WI 53406-3916

Call (262) 886-1300 Map

Fax (262) 886-1837

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4048 (WI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 other providers at this address

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About NPI 1417014572

Poornima Jayaprakash's National Provider Identifier is 1417014572, issued on Jan 1, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Racine, WI. The record was last updated on Jul 8, 2007.