ELAN DENTAL GROUP
NPI 1427595164
Clinic/Center - Dental in East Lansing, MI

Active since January 19, 2017
1500 ABBOTT RD STE 120, EAST LANSING, MI 48823(517) 351-9540(517) 351-1645 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elan Dental Group NPPES

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

ELAN DENTAL GROUP (NPI 1427595164) is a healthcare organization registered as a dental in East Lansing, Michigan and active in the NPI registry since January 2017. The organization lists Sergio Mauricio Moeller Zevallos, Dentist, as its authorized official.

NPPES Registry Identity

NPI1427595164
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELAN DENTAL GROUP LANSING, PLLC
Location Address1500 ABBOTT RD STE 120East Lansing, MI 48823-1956
Mailing Address2509 S State StAnn Arbor, MI 48104-6145 · (734) 662-7874 · Fax (734) 662-1518
Fax(517) 351-1645
Organization SubpartNo
Authorized OfficialSergio Mauricio Moeller ZevallosDentist · (734) 662-7874
Enumeration DateJanuary 19, 2017
NPI 1427595164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MI · 18235
1500 ABBOTT RD STE 120, East Lansing, MI 48823

Other Names 1

Doing Business AsElan Dental Group

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1500 ABBOTT RD STE 120
EAST LANSING, MI 48823

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 Elan Dental Group Lansing, PLLC's NPI number?

The NPI number for Elan Dental Group Lansing, PLLC is 1427595164. It was assigned to this organization in the NPPES registry on January 19, 2017. The provider is doing business as Elan Dental Group.

Where is Elan Dental Group Lansing, PLLC located?

Elan Dental Group Lansing, PLLC is located at 1500 Abbott Rd Ste 120, East Lansing, MI 48823. The listed phone number is (517) 351-9540.

What is Elan Dental Group Lansing, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Elan Dental Group Lansing, PLLC was last updated on January 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.