MEDICARE: DR. JARED ROBERT GIANQUINTO D.M.D., M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	54756	CA

General Provider Information

NPI Number	:	1578534046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARED ROBERT GIANQUINTO D.M.D., M.S.

Provider Business Mailing Address
First Line	:	1400 CALLOWAY DR
Second Line	:	SUITE 206
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-2826
Country	:	US
Telephone Number	:	661-829-7970
Fax Number	:	888-527-3506

Provider Business Practice Location Address
First Line	:	1400 CALLOWAY DR STE 206
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-2842
Country	:	US
Telephone Number	:	661-829-7970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	05/19/2026

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