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Poonam Jain
General Practice Dentistry in Staunton, Illinois
NPI 1790799385

Poonam Jain is a General Practice Dentistry based in Staunton, IL and is specialized in General Practice. Poonam Jain practices in Staunton, IL. The NPI Number for Poonam Jain is 1790799385 and holds a License No. 019-024969 (Illinois).

The current practice location address for Poonam Jain is 109 W Main St, Staunton, IL and can be reached out via phone at 618-635-2280 and via fax at 618-635-2902.

Location: 109 W Main St, Staunton, IL, 62088-2217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790799385
Provider Name
Poonam Jain
Credential
Provider Entity Type
Individual
Gender
Female
Address
109 W Main St, Staunton, IL, 62088-2217
Phone Number
618-635-2280
Fax Number
618-635-2902
Provider Enumeration Date
07/28/2006
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
109 W Main St
City
Staunton
State
Illinois
Zip
62088-1452
Phone Number
618-635-2280
Fax Number
618-635-2902
person
Provider Business Mailing Address Details
Address
109 W Main St
City
Staunton
State
Illinois
Zip
62088-1452
Phone Number
618-635-2280
Fax Number
618-635-2902
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019-024969 (Illinois)
Definition
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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