# ALIGN DENTAL SPECIALTIES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Align Dental Specialties
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386313997
- **Authorized official:** MS. DAVE GOLDWYN JEQUINTO DDS (OWNER/DOCTOR)
- **Authorized official phone:** (210) 944-0504

## Contact information

- **Practice address:** 12014 HUEBNER ROAD, SUITE 102, SAN ANTONIO, TX 78230
- **Practice address phone:** (210) 797-5418
- **Mailing address:** 12014 HUEBNER ROAD, SUITE 102, SAN ANTONIO, TX 78230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2021
- **Last updated:** 11/16/2021