Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Poornima Jayaprakash

Individual provider General Practice Dentistry · NPI 1417014572

Dr. Poornima Jayaprakash is a General Practice Dentistry in Racine, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

6218 Washington Ave Ste C
Racine, WI 53406-3916
Phone: (262) 886-1300
Fax: (262) 886-1837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4048 (WI)

Record details

NPI number1417014572
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 1, 2007
Last updated in NPPESJuly 8, 2007

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