Provider Demographics
NPI:1285324400
Name:JAFFERBHOY, ALINA (DMD)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:JAFFERBHOY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 FLAT IRON CT
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-3258
Mailing Address - Country:US
Mailing Address - Phone:281-871-1582
Mailing Address - Fax:
Practice Address - Street 1:11203 VALLEY MDW
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-7773
Practice Address - Country:US
Practice Address - Phone:281-871-1582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX416001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program