JINKLE PRIVESH MODI NPI 1902731086

NPI Information

  • NPI: 1902731086
  • Provider Name: JINKLE PRIVESH MODI
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 4445 TAYLOR AVE STE 1
    MOUNT PLEASANT, WI
    ZIP 53405
  • Phone: (262) 379-8761

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NPI Details

Jinkle Privesh Modi is a general practice dentist in Mount Pleasant, WI. The provider is 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. Jinkle Privesh Modi NPI is 1902731086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4445 TAYLOR AVE STE 1
MOUNT PLEASANT, WI
ZIP 53405-642
Phone: (262) 379-8761

The enumeration date for this NPI number is 6/17/2026 and was last updated on 6/17/2026.

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
11223G0001XDentistGeneral Practice6002193-15WISCONSINYes

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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