Individual provider · Type 1 NPI

Poonam Jain

General Practice Dentistry · Staunton, IL

NPI number 1790799385 Active

Practice location

109 W Main St
Staunton, IL 62088-1452

Fax (618) 635-2902

Mailing address

5 Evergreen Dr
Staunton, IL 62088-2217

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019-024969 (IL)

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.

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About NPI 1790799385

Poonam Jain's National Provider Identifier is 1790799385, issued on Jul 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Staunton, IL. The record was last updated on Jan 8, 2025.