Jequinto Dental, Inc

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

JEQUINTO DENTAL, INC

Practice address

7801 Center Ave Ste 101
Huntington Beach, CA 92647-9112

Phone

(210) 568-9800

NPI assigned

Jan 2, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dave Goldwyn Jequinto

Title

Owner DDS

Phone

(210) 568-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1013786045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 CENTER AVE STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 CENTER AVE STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479112",
            "telephone_number": "210-568-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEQUINTO DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "JEQUINTO",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "GOLDWYN",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "210-568-9800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health Dentistry in Huntington Beach, CA
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• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.