Healthcare Provider Details

I. General information

NPI: 1699351577
Provider Name (Legal Business Name): JORGE ARTURO VERA-ROJAS SR. DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3435 MAIN ST
BUFFALO NY
14214-3001
US

IV. Provider business mailing address

3435 MAIN ST
BUFFALO NY
14214-3001
US

V. Phone/Fax

Practice location:
  • Phone: 716-829-6229
  • Fax:
Mailing address:
  • Phone: 716-262-9750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number2021003596
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number000164
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: