Individual provider · Type 1 NPI

Desirae Jackson, CDA

Dental Assistant · Buffalo, NY

NPI number 1851581078 Active

Practice location

Va Wny Healthcare System, 3495 Bailey Ave
Buffalo, NY 14215-1311

Mailing address

62 Croy Ave
Buffalo, NY 14215-1311

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XNone listed

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1851581078

Desirae Jackson, CDA's National Provider Identifier is 1851581078, issued on Jul 25, 2007. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Buffalo, NY. The record was last updated on Jul 25, 2007.