Doctor profile · Federal record
Dr. Jack Desse, DMD
Dentist · Alton, IL
- NPI 1396427381
- 3 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1809 Homer M Adams Pkwy Unit A
Alton, IL 620025606
(618) 440-3758 - Mailing address
-
1610 Shurtleff CT
Alton, IL 620024067
Credentials & registration
- NPI registered
- August 2023 — 3 yrs on file
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Illinois #019.033732
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396427381. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$41
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 2 | $41.36 |
By nature of payment
Frequently asked questions
What is Dr. Jack Desse's medical specialty?
Dr. Jack Desse practices Dentist in Alton, IL.
Where does Dr. Jack Desse practice?
Dr. Jack Desse practices at 1809 Homer M Adams Pkwy Unit A, Alton, IL 620025606. Office phone: 6184403758.
What is Dr. Jack Desse's NPI?
Dr. Jack Desse's National Provider Identifier (NPI) is 1396427381, issued by NPPES.