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DR. MARIE CROSS PUCILLO D.M.D.
NPI 1730428749
Dentist - General Practice in St Augustine, FL

Active since February 11, 2013
150 MALAGA ST, ST AUGUSTINE, FL 32084(904) 829-9024(904) 829-3546 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017 (2 updates tracked since 2017).

About Dr. Marie Cross Pucillo D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIE CROSS PUCILLO D.M.D. (NPI 1730428749) is an individual general practice provider in St Augustine, Florida, licensed in Florida (DN22667) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1730428749
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARIE CROSS PUCILLOCredential: D.M.D.
Location Address150 MALAGA STSt Augustine, FL 32084-3521
Mailing Address150 Malaga StSt Augustine, FL 32084-3521 · (904) 829-9024 · Fax (904) 829-3546
Phone(904) 829-9024
Fax(904) 829-3546
Sole ProprietorYes
Enumeration DateFebruary 11, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1730428749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN22667
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
150 MALAGA ST, St Augustine, FL 32084
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Other Names 1

Former Name (1)Dr. Marie Elizabeth Cross D.m.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEX JOSEPH LIBOON RUSTIA DMD
Dentist (General Practice)
150 MALAGA ST
ST AUGUSTINE, FL 32084
St. Johns County (904) 829-9024
SMILE SO BIG FLAGLER PLLC
Clinic/Center (Dental)
150 MALAGA ST
ST AUGUSTINE, FL 32084
St. Johns County (904) 829-9024
DR. MICHAEL ANDREW VERSAGGI DDS
Dentist
150 MALAGA ST
ST AUGUSTINE, FL 32084
St. Johns County (904) 829-9024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie Pucillo's NPI number?

The NPI number for Marie Pucillo is 1730428749. It was assigned to this individual provider in the NPPES registry on February 11, 2013. The provider is also known as Dr. Marie Elizabeth Cross D.M.D..

Where is Marie Pucillo located?

Marie Pucillo practices at 150 Malaga St, St Augustine, FL 32084. The listed phone number is (904) 829-9024.

What is Marie Pucillo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Marie Pucillo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Marie Pucillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marie Pucillo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.