Gabriella Blazquez Deese, DMD, MDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

12711 Issued in NC

Practice address

3020 S Miami Blvd Ste a
Durham, NC 27703-0965

Phone

(919) 598-9900

Fax

(919) 598-9500

NPI assigned

Apr 8, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lane and Associates VI DDS PA

  • General Practice Dentistry
  • Durham, NC
  • NPI 1295990406
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1679215933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 S MIAMI BLVD STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030965",
            "telephone_number": "919-598-9900",
            "fax_number": "919-598-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S MIAMI BLVD STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030965",
            "telephone_number": "919-598-9900",
            "fax_number": "919-598-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEESE",
        "first_name": "GABRIELLA",
        "middle_name": "BLAZQUEZ",
        "credential": "DMD, MDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "12711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanae Elyse Dedio, PHYSICIAN ASSISTANT
• Kevin D. Dedmond, CRNA
• Michael Dean Deel, M.D.
• Deepika Verma DMD PLLC
• Dees Transportation
• Defining New Beginnings PLLC
• Lauren Brooke Defreitas, MSOT, OTR/L
• Valentina Degiovanni, DC
• Kristen Rebecca Degree
• Rita A Deimler, NP

• Endodontics in Durham, NC
• Providers in Durham, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.