Individual
DR. JESSICA JADE PUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1707 W HIGHWAY 50, O FALLON, IL 62269-1624
(618) 206-5488
Mailing address
618 E 20TH ST, ALTON, IL 62002-3540
(573) 493-8587
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2025027647
MO
1223G0001X
General Practice Dentistry
Primary
019.036217
IL
Other
Enumeration date
07/01/2025
Last updated
07/07/2025
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