Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
POONAM JAIN
Active Sole ProprietorPOONAM JAIN is a General Dentistry healthcare provider located in STAUNTON, Illinois. NPI 1790799385 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · STAUNTON, IL
Registration Details
- NPI Number
- 1790799385
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2006 (20.021853082479 yrs)
- Last Updated
- Jan 8, 2025
- License
-
019-024969 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 W MAIN STSTAUNTON, IL, 620881452Browse IL providers · Browse ZIP 62088
- Phone
- 6186352280
- Fax
- 6186352902
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in STAUNTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN BATISTA CALDIERARO III | DMD | 1891957130 |
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.