Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Dental Wish Foundation

Organization Dental Clinic/Center · NPI 1861072274

The Dental Wish Foundation is a Dental Clinic/Center in San Antonio, Texas. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

12055 Vance Jackson Rd Ste 103
San Antonio, TX 78230-6058
Phone: (210) 568-9800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1861072274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dave Goldwyn Jequinto — Manager · (310) 748-3742
NPI enumeratedApril 9, 2021
Last updated in NPPESApril 9, 2021
Certification dateApril 9, 2021
Mailing address12055 Vance Jackson Rd Ste 103, San Antonio, TX 78230-6058

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