JACK A ELDER DDS
NPI 1164509832
Dentist in Benicia, CA

Q: What is Jack Elder's NPI number?

The NPI number for Jack Elder is 1164509832. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Jack Elder's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Elder was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 01, 2006

172 EAST D STREET, BENICIA, CA 94510(707) 745-3820(707) 746-5196 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jack A Elder Dds NPPES

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

JACK A ELDER DDS (NPI 1164509832) is an individual dentist in Benicia, California, licensed in California (55157) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1164509832

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJACK A ELDERCredential: DDS

Location Address172 EAST D STREETBenicia, CA 94510

Mailing Address172 East D StreetBenicia, CA 94510-0954 · (707) 745-3820 · Fax (707) 746-5196

Phone(707) 745-3820

Fax(707) 746-5196

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateJune 3, 2009

✔ NPI 1164509832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 55157

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

172 EAST D STREET, Benicia, CA 94510

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOWNTOWN DENTAL BENICA

Clinic/Center (Dental)

172 EAST D STREET
BENICIA, CA 94510

Solano County (707) 745-3820

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 Jack Elder's NPI number?

The NPI number for Jack Elder is 1164509832. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Jack Elder located?

Jack Elder practices at 172 East D Street, Benicia, CA 94510. The listed phone number is (707) 745-3820.

What is Jack Elder's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jack Elder was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.