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

Jessica Marie Lavery

Individual provider Pediatric Dentistry · NPI 1306478565

Jessica Marie Lavery is a Pediatric Dentistry in New York, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

722 W 168th St
New York, NY 10032-3727
Phone: (212) 305-6754
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 062528 (NY)

Record details

NPI number1306478565
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2020
Last updated in NPPESMay 29, 2023
Certification dateMay 29, 2023

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