Desirae Jackson, CDA
Dental Assistant · Buffalo, NY
Practice location
VA WNY Healthcare System3495 Bailey Ave
Buffalo, NY 14215-1311
- Phone
- (716) 862-8738
NPI record
- NPI
- 1851581078
- Entity type
- Individual (Type 1)
- Enumeration date
- July 25, 2007
- Last updated
- July 25, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Assistant Primary | 126800000X |
— | — |
Mailing address
62 Croy AveBuffalo, NY 14215-1311
- Phone
- (716) 862-8137
About Desirae Jackson
Desirae Jackson, CDA is a healthcare provider registered in the NPI registry with the primary taxonomy Dental Assistant (code 126800000X). The practice location is VA WNY Healthcare System, 3495 Bailey Ave, Buffalo, NY 14215-1311. The NPI number 1851581078 was assigned on July 25, 2007 and the record was last updated on July 25, 2007.
Frequently asked questions
What is the NPI number of Desirae Jackson, CDA?
The NPI number is 1851581078.
What is the phone number of Desirae Jackson?
The phone number listed for the practice location is (716) 862-8738.
Where is Desirae Jackson located?
VA WNY Healthcare System, 3495 Bailey Ave, Buffalo, NY 14215-1311.
What is the taxonomy code for Desirae Jackson?
The primary taxonomy code is 126800000X – Dental Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dental Assistant providers in Buffalo
- Donna M. Rokitka, CDA3495 Bailey Avenue