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Search › Illinois › General Practice Dentistry

Poonam Jain

NPI 1790799385 · on the registry since 2006 · sole proprietor

Practice

Address
109 W Main St
Staunton, IL 62088
Phone
(618) 635-2280
Fax
(618) 635-2902

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois