Jack Desse, DMD

Dentist · Alton, IL

Individual Active NPI

NPI number 1396427381

Practice location

1809 Homer M Adams Pkwy Unit a
Alton, IL 62002-5606
Phone
(618) 440-3758

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NPI record

NPI
1396427381
Entity type
Individual (Type 1)
Enumeration date
August 1, 2023
Last updated
August 1, 2023
Certified
August 1, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.033732 IL

Mailing address

1610 Shurtleff Ct
Alton, IL 62002-4067
Phone
(618) 978-1809

About Dr. Desse

Jack Desse, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1809 Homer M Adams Pkwy Unit a, Alton, IL 62002-5606. The NPI number 1396427381 was assigned on August 1, 2023 and the record was last updated on August 1, 2023.

Dr. Desse lists a license in the registry: #019.033732 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Desse, DMD?

The NPI number is 1396427381.

What is the phone number of Dr. Desse?

The phone number listed for the practice location is (618) 440-3758.

Where is Dr. Desse located?

1809 Homer M Adams Pkwy Unit a, Alton, IL 62002-5606.

What is the taxonomy code for Dr. Desse?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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