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DR. JENNIFER ANN HOLMER SU D.D.S.
NPI 1073554291
Dentist in Buffalo, NY

Active since June 09, 2006PECOS Enrolled
1950 SHERIDAN DR, #5, BUFFALO, NY 14223(716) 875-3660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jennifer Ann Holmer Su D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER ANN HOLMER SU D.D.S. (NPI 1073554291) is an individual dentist in Buffalo, New York, licensed in New York (049550-1) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1073554291
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JENNIFER ANN HOLMER SUCredential: D.D.S.
Location Address1950 SHERIDAN DR, #5Buffalo, NY 14223-1240
Mailing Address159 Crown Royal DrWilliamsville, NY 14221-2764 · (716) 689-9159
Phone(716) 875-3660
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073554291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 049550-1
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1950 SHERIDAN DR, Buffalo, NY 14223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Ann Holmer Su D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921575358
PECOS Enrollment IDI20260423000764
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Holmer Su's NPI number?

The NPI number for Jennifer Holmer Su is 1073554291. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Jennifer Holmer Su located?

Jennifer Holmer Su practices at 1950 Sheridan Dr #5, Buffalo, NY 14223. The listed phone number is (716) 875-3660.

What is Jennifer Holmer Su's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jennifer Holmer Su enrolled in Medicare?

Yes. Jennifer Holmer Su is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Holmer Su accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Jennifer Holmer Su as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Holmer Su was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.