Provider Demographics
NPI:1457816480
Name:JAIN DENTAL STUDIO, PLLC
Entity Type:Organization
Organization Name:JAIN DENTAL STUDIO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONAL
Authorized Official - Middle Name:K
Authorized Official - Last Name:JAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:908-245-7600
Mailing Address - Street 1:20 EAST 46TH STREET
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:646-630-0808
Mailing Address - Fax:908-245-7909
Practice Address - Street 1:20 EAST 46TH STREET
Practice Address - Street 2:SUITE 1300
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:646-630-0808
Practice Address - Fax:908-245-7909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty