National Provider Identifier
Jessica J. Blakely, DDS
Jessica J. Blakely, DDS is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 249-4999.
Profile Overview
- NPI
- 1871807941
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- August 01, 2010
- Last Updated
- October 11, 2022
Practice Location
- 2746 Main St
- Buffalo, NY 14214-1702
Phone: (716) 249-4999
Mailing Address
- 5363 Transit RD
- Clarence, NY 14221
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1871807941
- Entity Type
- Individual
- Last Name
- Blakely
- First Name
- Jessica
- Middle Name
- J.
- Name Prefix
- MS.
- Credential
- DDS
- Mailing Street Address
- 5363 Transit RD
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14221
- Mailing Country
- US
- Mailing Phone
- (716) 320-1901
- Mailing Fax
- (716) 299-3390
- Practice Street Address
- 2746 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-1702
- Practice Country
- US
- Practice Phone
- (716) 249-4999
- Practice Fax
- (716) 249-4999
- Enumeration Date
- August 01, 2010
- Last Updated
- October 11, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)