Jack Desse, DMD - Dentist in Alton, IL

Jack Desse, DMD is a Dentist based in Alton, Illinois. Jack Desse is licensed to practice in Illinois (license number 019.033732) and his current practice location is 1809 Homer M Adams Pkwy Unit A, Alton, Illinois. He can be reached at his office (for appointments etc.) via phone at (618) 440-3758.

NPI number for Jack Desse is 1396427381 and his current mailing address is 1610 Shurtleff Ct, Alton, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396427381.

Contact Information

Jack Desse, DMD
1809 Homer M Adams Pkwy Unit A,
Alton, IL 62002-5606
(618) 440-3758
Not Available



Healthcare Provider's Profile

Full NameJack Desse
GenderMale
SpecialityDentist
Location1809 Homer M Adams Pkwy Unit A, Alton, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396427381
  • Provider Enumeration Date: 08/01/2023
  • Last Update Date: 08/01/2023

Medical Identifiers

Medical identifiers for Jack Desse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396427381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 019.033732 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Desse is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack Desse, DMD
1610 Shurtleff Ct,
Alton, IL 62002-4067

Ph: (618) 978-1809
Jack Desse, DMD
1809 Homer M Adams Pkwy Unit A,
Alton, IL 62002-5606

Ph: (618) 440-3758

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Dentist in Alton, IL

Jessica Chellis,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2800 College Ave, Alton, IL 62002
Phone: 618-474-7000    
Dr. Sandra Kay Highsmith, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2800 College Ave, Alton, IL 62002
Phone: 618-474-7208    
Dr. Lucas Winebaugh, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2800 College Ave, Alton, IL 62002
Phone: 618-474-7000    
Dr. Adam Kennedy Remm, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2800 College Ave, Alton, IL 62002
Phone: 618-474-7000    
Prof. Martin F. Land, DDS, MSD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2800 College Ave - Bldg. 263, Southern Illinois University, School Of Dental Medicine, Alton, IL 62002
Phone: 618-474-7072    Fax: 618-474-7141
Dr. Patrick William Malone, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2800 College Ave, Alton, IL 62002
Phone: 630-391-8330    
Dr. Alexandria Nicole Wold, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2800 College Ave, Alton, IL 62002
Phone: 618-474-7164    

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