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

Jacques Dupre

Individual provider Dentist · NPI 1336558543

Jacques Dupre is a Dentist in Fort Leonard Wood, Missouri. Licensed in Illinois, Missouri and Oklahoma. Registered with an NPI since 2014.

Licensed in
IL, MO, OK
In the registry since
2014
Specialties on file
4
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Practice location Address checks out

6958 Nebraska Ave
Fort Leonard Wood, MO 65473-1618
Phone: (573) 596-0411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7910 (OK)
Dentist Taxonomy 122300000X · Licence 019029993 (IL)
Dentist Taxonomy 122300000X · Licence 319019139 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2024009465 (MO)

Record details

NPI number1336558543
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 13, 2014
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

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