Dr. Marie Cross Pucillo, D.M.D.
Dr. Marie Cross Pucillo is a General Practice Dentistry provider (Dentist) practicing in St Augustine, FL, registered in the NPPES registry with NPI 1730428749 since 2013. The credential DMD stands for Doctor of Medicine in Dentistry. Practices at Smile So Big Flagler Pllc (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1730428749 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Marie Cross Pucillo |
| Credential | D.M.D. |
| Sex | Female |
| Practice address | St Augustine, FL, 32084 |
| Phone | 9048299024 |
| Fax | 9048293546 |
| Enumeration date | 2013-02-11 |
| Last updated in NPPES | 2022-07-21 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | Secondary | — | — |
| 1223G0001X | General Practice Dentistry | Primary | DN22667 | FL |
DMD — Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential
Copy-ready billing details
Provider: Marie Pucillo, D.M.D. NPI: 1730428749 Taxonomy: 1223G0001X (General Practice Dentistry) Address: St Augustine, FL, 32084
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972789725 | Michael Versaggi | Individual | Dentist | St Augustine, FL |
| 1194554535 | Alex Joseph Rustia | Individual | General Practice Dentistry | St Augustine, FL |
| 1942021514 | Smile So Big Flagler Pllc | Organization | Dental Clinic/Center | St Augustine, FL |
Verify this record
Cross-check NPI 1730428749 against the authoritative CMS record: view Dr. Marie Cross Pucillo on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.