Provider Demographics
NPI:1902280977
Name:CASAREZ-QUINTANA, ALICIA (DDS)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:CASAREZ-QUINTANA
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 1:8501 CANDELARIA RD NE STE C
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-1032
Mailing Address - Country:US
Mailing Address - Phone:505-292-8300
Mailing Address - Fax:
Practice Address - Street 1:8210 FLOYD CURL DRIVE, MSC 8103
Practice Address - Street 2:UT HEALTH SCIENCE CENTER AT SAN ANTONIO
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-450-3273
Practice Address - Fax:210-450-2223
Is Sole Proprietor?:No
Enumeration Date:2015-07-19
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD44371223G0001X
NMETN357390200000X
TX310921223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program