M ELDER DENTAL GROUP CORPORATION
NPI 1215599394
Dentist - Oral and Maxillofacial Surgery in San Jose, CA

Active since June 28, 2019
704 BLOSSOM HILL RD STE 102, SAN JOSE, CA 95123(408) 225-5000 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About M Elder Dental Group Corporation NPPES

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

M ELDER DENTAL GROUP CORPORATION (NPI 1215599394) is a healthcare organization registered as an oral and maxillofacial surgery in San Jose, California and active in the NPI registry since June 2019. The organization lists Emmy Montes, Director Of Centralized Billing, as its authorized official.

NPPES Registry Identity

NPI1215599394
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameM ELDER DENTAL GROUP CORPORATION
Location Address704 BLOSSOM HILL RD STE 102San Jose, CA 95123-5403
Mailing Address446 Merlot LnAmerican Canyon, CA 94503-1243
Organization SubpartNo
Authorized OfficialEmmy MontesDirector Of Centralized Billing · (415) 246-6305
Enumeration DateJune 28, 2019
NPI 1215599394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

704 BLOSSOM HILL RD STE 102, San Jose, CA 95123

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

Other Providers at the Same Location NPPES 2

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

Oral & Maxillofacial Surgery
704 BLOSSOM HILL RD STE 102
SAN JOSE, CA 95123
Dentist (Oral and Maxillofacial Surgery)
704 BLOSSOM HILL RD STE 102
SAN JOSE, CA 95123

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 M Elder Dental Group Corporation's NPI number?

The NPI number for M Elder Dental Group Corporation is 1215599394. It was assigned to this organization in the NPPES registry on June 28, 2019.

Where is M Elder Dental Group Corporation located?

M Elder Dental Group Corporation is located at 704 Blossom Hill Rd Ste 102, San Jose, CA 95123. The listed phone number is (408) 225-5000.

What is M Elder Dental Group Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for M Elder Dental Group Corporation was last updated on June 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.