Jessica J. Blakely, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

055802 Issued in NY

Practice address

2746 Main St
Buffalo, NY 14214-1702

Phone

(716) 249-4999

Fax

(716) 249-4999

NPI assigned

Aug 1, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Buffalo Sleep Care LLC

  • General Practice Dentistry
  • Buffalo, NY
  • NPI 1053945360
  NPD (past)
• Gordon a. Kent, DMD, PC, Dba Smile Center

  • Dentist
  • Cheektowaga, NY
  • NPI 1760778302
  NPD (past)
• New Era Dental, PLLC

  • Dentist
  • Buffalo, NY
  • NPI 1538691803
  NPD (past)

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

{
    "created_epoch": "1280620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1871807941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 TRANSIT RD",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-320-1901",
            "fax_number": "716-299-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141702",
            "telephone_number": "716-249-4999",
            "fax_number": "716-249-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4427 Union Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142252305",
            "country_code": "US",
            "telephone_number": "716-634-4090",
            "fax_number": "716-634-4136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKELY",
        "first_name": "JESSICA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-01",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Annette Blair, M.A., CCC/SLP
• Rita Blair, LPN
• Samantha Carmen Blair
• Donna Blaird-Wagner, NP
• Jane R Blake, NP
• Larusha Blakely
• Andrea Blakeslee, LMSW
• Jessica Blanar, PA-C
• Diane Blanchard, LPN
• Kaitlin Blanding, FNP

• Dentist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.