ARCHITA JAIN NPI 1558120519

NPI Information

  • NPI: 1558120519
  • Provider Name: ARCHITA JAIN
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 515 DELAWARE ST SE
    MINNEAPOLIS, MN
    ZIP 55455
  • Phone: (612) 594-6778

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NPI Details

Archita Jain is an oral and maxillofacial surgery dentist in Minneapolis, MN with 2 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Archita Jain NPI is 1558120519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduation Year:2024

The provider's business location address is:

515 DELAWARE ST SE
MINNEAPOLIS, MN
ZIP 55455-357
Phone: (612) 594-6778

The NPI 1558120519 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/13/2024 and was last updated on 6/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryDR61546849WASHINGTONNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
31223S0112XDentistOral and Maxillofacial SurgeryD15342MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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