MEDICARE: JAIN DENTAL CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1003632662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAIN DENTAL CARE LLC

Provider Business Mailing Address
First Line	:	25 BREAKNECK HILL RD
Second Line	:
City	:	SOUTHBOROUGH
State	:	MA
Zip	:	01772-1806
Country	:	US
Telephone Number	:	716-939-4818
Fax Number	:

Provider Business Practice Location Address
First Line	:	1411 N MAIN ST
Second Line	:
City	:	PALMER
State	:	MA
Zip	:	01069-1570
Country	:	US
Telephone Number	:	716-939-4818
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUNIT JAIN
Credential	:	DDS
Telephone Number	:	716-939-4818

Provider Enumeration Date	:	11/27/2024
Last Update Date	:	11/27/2024

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Directions to “JAIN DENTAL CARE LLC ” Practice Location

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