Mark Maher Wadie Elia, DDS

Dentist · Jbsa Lackland, TX

Individual Active NPI

NPI number 1205535366

Practice location

2133 Klinker Street
Building 3352
Jbsa Lackland, TX 78236-5313
Phone
(210) 292-6258

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NPI record

NPI
1205535366
Entity type
Individual (Type 1)
Enumeration date
February 27, 2023
Last updated
June 5, 2024
Certified
May 29, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 39858 TX
Student in an Organized Health Care Education/Training Program 390200000X — —

About Dr. Elia

Mark Maher Wadie Elia, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2133 Klinker Street, Building 3352, Jbsa Lackland, TX 78236-5313. The NPI number 1205535366 was assigned on February 27, 2023 and the record was last updated on June 5, 2024.

Dr. Elia lists a license in the registry: #39858 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Maher Wadie Elia, DDS?

The NPI number is 1205535366.

What is the phone number of Dr. Elia?

The phone number listed for the practice location is (210) 292-6258.

Where is Dr. Elia located?

2133 Klinker Street, Building 3352, Jbsa Lackland, TX 78236-5313.

What is the taxonomy code for Dr. Elia?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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