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Active NPI 1396427381 Individual Practitioner Male Practitioner

Dr. Jack Desse , DMD

Dentist • Alton, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jack Desse, DMD is a registered healthcare professional specializing in Dentist in Alton, IL. Practice services are available at 1809 HOMER M ADAMS PKWY UNIT A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1809 Homer M Adams Pkwy Unit A

Alton, IL 620025606

Telephone 6184403758

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Alton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
56 Specialists

Practicing in Alton, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.033732

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 01, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2023

Registered at 1809 HOMER M ADAMS PKWY UNIT A, ALTON, IL 620025606 (Tel: 6184403758)

📍
Updated Business Mailing Address August 01, 2023

Registered at 1610 SHURTLEFF CT, ALTON, IL 620024067 (Tel: 6189781809)

👤
Provider Name / Credentials Updated August 01, 2023

Recorded as JACK DESSE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2023

Dentist (License #019.033732 in IL)

🟢
Initial NPI Registration & Enumeration August 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396427381
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2023
Last Update: August 01, 2023
Sole Proprietor: No

Mailing Address

1610 Shurtleff Ct

Alton, IL 620024067

Phone: 6189781809

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.