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MR. SERGIO IVAN QUINTANILLA ENCISO D.D.S.
NPI 1164880373
Dentist in Tijuana, BAJA CALIFORNIA

Active since February 02, 2016
CALLE JOSE MA. VELAZCO 2613-203, ZONA RIO, TIJUANA, BAJA CALIFORNIA 22320 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Sergio Ivan Quintanilla Enciso D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SERGIO IVAN QUINTANILLA ENCISO D.D.S. (NPI 1164880373) is an individual dentist in Tijuana, BAJA CALIFORNIA, licensed in Foreign Country (302410) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1164880373
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. SERGIO IVAN QUINTANILLA ENCISOCredential: D.D.S.
Location AddressCALLE JOSE MA. VELAZCO 2613-203, ZONA RIOTijuana, BAJA CALIFORNIA 22320
Mailing Address4364 Bonita Rd, #233Bonita, CA 91902-1421
Phone011526646347018
Sole ProprietorYes
Enumeration DateFebruary 2, 2016
✔ NPI 1164880373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ZZ · 302410
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
CALLE JOSE MA. VELAZCO 2613-203, Tijuana, BAJA CALIFORNIA 22320
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sergio Quintanilla Enciso's NPI number?

The NPI number for Sergio Quintanilla Enciso is 1164880373. It was assigned to this individual provider in the NPPES registry on February 2, 2016.

Where is Sergio Quintanilla Enciso located?

Sergio Quintanilla Enciso practices at Calle Jose Ma. Velazco 2613-203 Zona Rio, Tijuana, BAJA CALIFORNIA 22320.

What is Sergio Quintanilla Enciso's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Sergio Quintanilla Enciso was last updated on February 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.