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

Poonam Jain

Individual provider General Practice Dentistry · NPI 1790799385

Poonam Jain is a General Practice Dentistry in Staunton, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
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Practice location Address checks out

109 W Main St
Staunton, IL 62088-1452
Phone: (618) 635-2280
Fax: (618) 635-2902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019-024969 (IL)

Record details

NPI number1790799385
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 28, 2006
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address5 Evergreen Dr, Staunton, IL 62088-2217

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