Elder Dental Corp

Dentist · Vallejo, CA

Organization Active NPI

NPI number 1568905917

Practice location

19 Rotary Way
Vallejo, CA 94591-8475
Phone
(415) 890-1190

Open in Google Maps

NPI record

NPI
1568905917
Entity type
Organization (Type 2)
Enumeration date
December 1, 2016
Last updated
December 2, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 93771 CA

Authorized official

Name
Mahr Elder, DDS
Title
Owner
Phone
(415) 890-1190

About Elder Dental Corp

Elder Dental Corp is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 19 Rotary Way, Vallejo, CA 94591-8475. The NPI number 1568905917 was assigned on December 1, 2016 and the record was last updated on December 2, 2016.

Elder Dental Corp lists a license in the registry: #93771 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mahr Elder, DDS, Owner.

Frequently asked questions

What is the NPI number of Elder Dental Corp?

The NPI number is 1568905917.

What is the phone number of Elder Dental Corp?

The phone number listed for the practice location is (415) 890-1190.

Where is Elder Dental Corp located?

19 Rotary Way, Vallejo, CA 94591-8475.

What is the taxonomy code for Elder Dental Corp?

The primary taxonomy code is 122300000X – Dentist.

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.

Other Dentist providers in Vallejo

All Dentist providers in Vallejo, CA →