Provider Demographics
NPI:1790090462
Name:JEQUINTO, MELANIE ANN NAVARRO (DDS)
Entity type:Individual
Prefix:DR
First Name:MELANIE ANN
Middle Name:NAVARRO
Last Name:JEQUINTO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29941 AVENTURA STE B
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-2015
Mailing Address - Country:US
Mailing Address - Phone:949-368-0193
Mailing Address - Fax:
Practice Address - Street 1:715 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5794
Practice Address - Country:US
Practice Address - Phone:714-835-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA596611223G0001X
TX304641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice