Organization · Type 2 NPI

Align Dental Specialties PLLC

Dental Clinic/Center · San Antonio, TX

NPI number 1386313997 Active

Practice location

12014 Huebner Road, Suite 102
San Antonio, TX 78230

Specialties and licenses

Taxonomy	Code	License
Endodontics	1223E0200X	None listed
General Practice Dentistry	1223G0001X	None listed
Oral and Maxillofacial Surgery (Dentist)	1223S0112X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	None listed
Dental Clinic/Center Primary	261QD0000X	None listed

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NPI record

NPI: 1386313997
Entity type: Organization (Type 2)
Issued: Sep 8, 2021
Last updated: Nov 16, 2021
Status: Active

Other names

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Align Dental Specialties · doing business as
Align Dental Specialties · doing business as

Authorized official

Ms. Dave Goldwyn Jequinto, DDS
Owner/doctor
(210) 944-0504

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About NPI 1386313997

Align Dental Specialties PLLC's National Provider Identifier is 1386313997, issued on Sep 8, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Antonio, TX. The record was last updated on Nov 16, 2021.