Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marie Cross Pucillo, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730428749

Dr. Marie Cross Pucillo, DMD is a Student in an Organized Health Care Education/Training Program in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

St Augustine, FL

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN22667 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730428749
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 11, 2013
Last updated in NPPESJuly 21, 2022

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