Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAURAV JAIN, DDS
ActiveGAURAV JAIN, DDS is a Pediatric Dentistry healthcare provider located in BLACK RIVER FALLS, Wisconsin. NPI 1548620453 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BLACK RIVER FALLS, WI
Registration Details
- NPI Number
- 1548620453
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 4, 2016 (10.471144297277 yrs)
- Last Updated
- Aug 15, 2024
- License
-
1001303-15 (WI)
Practice Information
- Address
-
N6571 LUMBERJACK GUY RDMARSHFIELD CLINIC DENTAL CENTERBLACK RIVER FALLS, WI, 546155405Browse WI providers · Browse ZIP 54615
- Phone
- 7153875511
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.