Gunjan Jain, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019027510 Issued in IL

Practice address

6305 W 95TH St FL 3
Oak Lawn, IL 60453-2255

Phone

(708) 425-4301

Fax

(888) 334-0111

NPI assigned

Jun 3, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oral & Maxillofacial Surgery of Chicago P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Orland Park, IL
  • NPI 1669620902
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1023277134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 W 95TH ST FL 3",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532255",
            "telephone_number": "708-425-4301",
            "fax_number": "888-334-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 W 95TH ST FL 3",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532255",
            "telephone_number": "708-425-4301",
            "fax_number": "888-334-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "GUNJAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Jacob, DO
• Mi'Kel Jacobs
• Jacobson Medical Services SC
• Sarah R Jacobson, DPT
• David Gerard Jaimovich, MD
• Roshan Jain, DDS
• Yogesh Jain
• Jessica Maria Jajesniak, APRN
• James C Liang MD SC (Retina Macula Care)
• James D.Schlenker MDSC (Plastic Surgery and Hand Specialists)

• Dentist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.