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ELITE MOBILE DENTAL
NPI 1083964696
Dentist - General Practice in Dallas, TX

Active since September 12, 2012
11706 STRAND ST, DALLAS, TX 75218(214) 769-8995 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elite Mobile Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE MOBILE DENTAL (NPI 1083964696) is a healthcare organization registered as a general practice in Dallas, Texas and active in the NPI registry since September 2012. The organization lists Kendall Bardin, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1083964696
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELITE MOBILE DENTAL
Location Address11706 STRAND STDallas, TX 75218-1552
Mailing Address11706 Strand StDallas, TX 75218-1552 · (214) 769-8995
Phone(214) 769-8995
Organization SubpartNo
Authorized OfficialKendall BardinRegistered Agent · (214) 769-8995
Enumeration DateSeptember 12, 2012
✔ NPI 1083964696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11706 STRAND ST, Dallas, TX 75218
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Mobile Dental's NPI number?

The NPI number for Elite Mobile Dental is 1083964696. It was assigned to this organization in the NPPES registry on September 12, 2012.

Where is Elite Mobile Dental located?

Elite Mobile Dental is located at 11706 Strand St, Dallas, TX 75218. The listed phone number is (214) 769-8995.

What is Elite Mobile Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Elite Mobile Dental was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.