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ELDER DENTAL CORP
NPI 1568905917
Dentist in Vallejo, CA

Active since December 01, 2016
19 ROTARY WAY, VALLEJO, CA 94591(415) 890-1190 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Elder Dental Corp NPPES

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

ELDER DENTAL CORP (NPI 1568905917) is a healthcare organization registered as a dentist in Vallejo, California and active in the NPI registry since December 2016. The organization lists Mahr Elder, Owner, as its authorized official.

NPPES Registry Identity

NPI1568905917
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameELDER DENTAL CORP
Location Address19 ROTARY WAYVallejo, CA 94591-8475
Mailing Address19 Rotary WayVallejo, CA 94591-8475 · (415) 890-1190
Phone(415) 890-1190
Organization SubpartNo
Authorized OfficialMahr ElderOwner · (415) 890-1190
Enumeration DateDecember 1, 2016
Last NPPES UpdateDecember 2, 2016
✔ NPI 1568905917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 93771
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.
19 ROTARY WAY, Vallejo, CA 94591
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

JEFFERY ROBERT GRAVES DDS
Oral & Maxillofacial Surgery
19 ROTARY WAY
VALLEJO, CA 94591
Solano County (707) 642-0433

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 Elder Dental Corp's NPI number?

The NPI number for Elder Dental Corp is 1568905917. It was assigned to this organization in the NPPES registry on December 1, 2016.

Where is Elder Dental Corp located?

Elder Dental Corp is located at 19 Rotary Way, Vallejo, CA 94591. The listed phone number is (415) 890-1190.

What is Elder Dental Corp's specialty?

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

What insurance does Elder Dental Corp accept?

Health plans from UnitedHealthcare list Elder Dental Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elder Dental Corp was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.