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

Desirae Jackson, CDA

Individual provider Dental Assistant · NPI 1851581078

Desirae Jackson, CDA is a Dental Assistant in Buffalo, New York. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Partly verified

Some contact details are missing from the federal record.

VA Wny Healthcare System 3495 Bailey Ave
Buffalo, NY 14215-1311
Phone: (716) 862-8738
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Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X

Record details

NPI number1851581078
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDA
Sole proprietorNo
NPI enumeratedJuly 25, 2007
Last updated in NPPESJuly 25, 2007
Mailing address62 Croy Ave, Buffalo, NY 14215-1311

Other providers in Buffalo