Dave Goldwyn Jequinto DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59173 Issued in CA

Legal business name

DAVE GOLDWYN JEQUINTO DDS INC

Practice address

2945 Rolling Hills Rd
Torrance, CA 90505-7146

Phone

(310) 530-4300

NPI assigned

Dec 9, 2013

Organization subpart

No

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

Authorized official

Name

Dave Goldwyn Jequinto, DDS

Title

President

Phone

(310) 530-4300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1336570993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 ROLLING HILLS RD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057146",
            "telephone_number": "310-530-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 ROLLING HILLS RD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057146",
            "telephone_number": "310-530-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE GOLDWYN JEQUINTO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "JEQUINTO",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "GOLDWYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-530-4300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Dau
• Eric Daugherty, PPS, CWA
• Christine Elizabeth Dauphine, MD
• Rebecca Daurio
• Sophie Konstantine Daushvili-Schoenfeld, MFT
• Marion Andrea Dave, M.S, LMFT
• Alicia Davenport-Wilbourn
• David a. Bray, Jr., M.D., Inc.
• David C Suh D D S Inc
• David D Wu MD a Professional Medical Corporation

• General Practice Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.