Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESIRAE JACKSON, CDA
ActiveDESIRAE JACKSON, CDA is a Dental Assistant healthcare provider located in BUFFALO, New York. NPI 1851581078 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · BUFFALO, NY
Registration Details
- NPI Number
- 1851581078
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2007 (19.074095702272 yrs)
- Last Updated
- Jul 25, 2007
Practice Information
- Address
-
VA WNY HEALTHCARE SYSTEM3495 BAILEY AVEBUFFALO, NY, 142151311Browse NY providers · Browse ZIP 14215
- Phone
- 7168628738
- Primary Specialty
-
Dental Assistant
126800000X
Other Dental Assistant Providers in BUFFALO, NY
| Name | Credential | NPI |
|---|---|---|
| DONNA M ROKITKA | CDA | 1720253057 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.