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

Jessica Lynn Buckwalter

Individual provider Dentist · NPI 1760002620

Jessica Lynn Buckwalter is a Dentist in Roanoke, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1111 S Jefferson St
Roanoke, VA 24016-4724
Phone: (540) 855-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401417442 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (VA)

Record details

NPI number1760002620
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2020
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

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