Individual provider · Type 1 NPI

Marie Cross Pucillo, DMD

General Practice Dentistry · St. Augustine, FL

NPI number 1730428749 Active

Practice location

150 Malaga St
St. Augustine, FL 32084-3521

Call (904) 829-9024 Map

Fax (904) 829-3546

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001XDN22667 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 other providers at this address

Other general practice dentistry providers in St. Augustine

See all in St. Augustine →

About NPI 1730428749

Marie Cross Pucillo, DMD's National Provider Identifier is 1730428749, issued on Feb 11, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 21, 2022.