Individual provider · Type 1 NPI

Jinkle Privesh Modi

General Practice Dentistry · Mount Pleasant, WI

NPI number 1902731086 Active

Practice location

4445 Taylor Ave Ste 1
Mount Pleasant, WI 53405-4642

Call (262) 379-8761 Map

Mailing address

113 Cambrian Ct
Roselle, IL 60172-4775

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6002193-15 (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.

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About NPI 1902731086

Jinkle Privesh Modi's National Provider Identifier is 1902731086, issued on Jun 17, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mount Pleasant, WI. The record was last updated on Jun 17, 2026.