National Provider Identifier
Jessica Elyse Canallatos, DDS
Jessica Elyse Canallatos, DDS is listed in the NPPES registry with a primary specialty of Prosthodontics in Buffalo, NY and a listed phone number of (716) 898-1461.
Profile Overview
- NPI
- 1326492208
- Provider Type
- Individual
- Primary Specialty
- Prosthodontics
- Enumeration Date
- April 18, 2016
- Last Updated
- May 15, 2018
Practice Location
- 462 Grider St
- Buffalo, NY 14215
Phone: (716) 898-1461
Mailing Address
- 908 Niagara Falls Blvd Ste 208
- North Tonawanda, NY 14120-2019
Specialties
- Prosthodontics (1223P0700X)
Full Record
- NPI
- 1326492208
- Entity Type
- Individual
- Last Name
- Canallatos
- First Name
- Jessica
- Middle Name
- Elyse
- Credential
- DDS
- Provider Other Last Name
- Silvestri
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- Elyse
- Provider Other Credential Text
- DDS
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 908 Niagara Falls Blvd Ste 208
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2019
- Mailing Country
- US
- Mailing Phone
- (716) 692-3302
- Mailing Fax
- (716) 692-4342
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215
- Practice Country
- US
- Practice Phone
- (716) 898-1461
- Enumeration Date
- April 18, 2016
- Last Updated
- May 15, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Prosthodontics (1223P0700X)