Active NPI 1790799385 Individual Practitioner Female Practitioner

Poonam Jain

Dentist - General Practice • Staunton, IL

Professional Overview & Biography Verified Profile Summary

Poonam Jain is a registered healthcare professional specializing in Dentist - General Practice in Staunton, IL. Practice services are available at 109 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 W Main St

Staunton, IL 620881452

Telephone 6186352280

Fax 6186352902

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Staunton, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Staunton, IL (5581 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-08

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019-024969

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

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Provider Name / Credentials Updated January 08, 2025

Recorded as POONAM JAIN

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Provider Name / Credentials Updated December 06, 2024

Recorded as POONAM JAIN BDS MS, B.D.S., M.S.

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Updated Practice Location May 17, 2024

Registered at 109 W MAIN ST, STAUNTON, IL 620881452 (Tel: 6186352280)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2024

Dentist (License #019-024969 in IL)

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 24 GINGER CREEK PKWY, GLEN CARBON, IL 620343502 (Tel: 6186921110)

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Updated Business Mailing Address July 08, 2007

Registered at 5 EVERGREEN DR, STAUNTON, IL 620882217 (Tel: 6182081622)

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Provider Name / Credentials Updated July 08, 2007

Recorded as POONAM JAIN, B.D.S., M.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

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Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790799385

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 28, 2006

Last Update: January 08, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5 Evergreen Dr

Staunton, IL 620882217

Phone: 6189781847

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.