Individual
JACK DESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1809 HOMER M ADAMS PKWY UNIT A, ALTON, IL 62002-5606
(618) 440-3758
Mailing address
1610 SHURTLEFF CT, ALTON, IL 62002-4067
(618) 978-1809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033732
IL
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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