NPI 1386313997 · live from the CMS NPI Registry
Align Dental Specialties PLLC
Clinic/Center, Dental in San Antonio, TX. National Provider Identifier 1386313997, active.
NPI record
| NPI | 1386313997 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Dental 261QD0000X |
| Practice location | 12014 Huebner Road, Suite 102, San Antonio, TX 78230 |
| Practice phone | 210-797-5418 |
| Enumerated | September 8, 2021 |
| Last updated | November 16, 2021 |
| Authorized official | Dave Jequinto, Owner/Doctor |
| Other names | Align Dental Specialties |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics | 1223E0200X | — |
| Dentist, General Practice | 1223G0001X | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Clinic/Center, Dental primary | 261QD0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.