Individual provider · Type 1 NPI

Jill Sukraw, DMD

Student in an Organized Health Care Education/Training Program · Henderson, NV

NPI number 1497638845 Active

Practice location

4 Sunset Way
Henderson, NV 89014-2015

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497638845

Jill Sukraw, DMD's National Provider Identifier is 1497638845, issued on Jul 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Henderson, NV. The record was last updated on Aug 22, 2025.