NPIMap

Marcel Acris, DDS

Individual provider Active NPI Dentist · Dupo, IL

NPI 1821782327 · NPPES record last updated Dec 30, 2025

Key facts

NPI
1821782327
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
019036706 (IL)
Practice address
195 S Main St
Dupo, IL 62239-1347
Phone
(203) 530-3136
NPI assigned
Jun 7, 2023
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN28115FLMDDentist
019036706ILMDDentist
12359TNMDDentist
12014088AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Dental Alliance of Jacksonville Ozark, PLLC General Practice Current
since Jun 11, 2023		 Accepting new patients

Locations

7768 Ozark Dr
Ste 200
Jacksonville, FL 32256
Phone (904) 442-6000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12359 TN
Dentist 122300000X 019036706 IL Yes
Dentist 122300000X DN28115 FL
General Practice Dentistry 1223G0001X 12014088A IN

Addresses

Primary practice location

195 S Main St
Dupo, IL 62239-1347

Mailing address

195 S Main St
Dupo, IL 62239-1347
Phone (615) 431-3126

Other practice location 1

7768 Ozark Dr Ste 200
Jacksonville, FL 32256-5891
Phone (904) 442-6000

Other providers in Dupo, IL

All providers in Dupo, IL · Dentist in Illinois

Sources for this page

Verify at the official NPI Registry.