Jessica Jade Pucci, DMD Valid NPI
Individual provider · General Practice Dentistry · O Fallon, IL
- NPI
- 1265321699
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 019.036217 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2025-07-01
- Last updated
- 2025-07-07
Practice location
1707 W Highway 50
O Fallon, IL 62269-1624
(618) 206-5488