Mohamed Abdelalim Elrasd

General Practice Dentistry · Lodi, CA

Individual Active NPI

NPI number 1629914742

Practice location

320 S Cherokee Ln
Lodi, CA 95240-4266
Phone
(209) 366-7970

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NPI record

NPI
1629914742
Entity type
Individual (Type 1)
Enumeration date
April 29, 2026
Last updated
May 6, 2026
Certified
May 6, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 112861 CA

Mailing address

9009 Paso Robles Way
Elk Grove, CA 95758-6132
Phone
(267) 351-7657

About Mohamed Elrasd

Mohamed Abdelalim Elrasd is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 320 S Cherokee Ln, Lodi, CA 95240-4266. The NPI number 1629914742 was assigned on April 29, 2026 and the record was last updated on May 6, 2026.

Mohamed Elrasd lists a license in the registry: #112861 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mohamed Abdelalim Elrasd?

The NPI number is 1629914742.

What is the phone number of Mohamed Elrasd?

The phone number listed for the practice location is (209) 366-7970.

Where is Mohamed Elrasd located?

320 S Cherokee Ln, Lodi, CA 95240-4266.

What is the taxonomy code for Mohamed Elrasd?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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