DR. MARK LEE GJERDE DDS
NPI 1588693170
Dentist - General Practice in Elk Grove, CA

Active since July 03, 2006
8880 ELK GROVE BLVD, ELK GROVE, CA 95624(916) 685-2141(916) 685-6449 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Lee Gjerde Dds NPPES

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

DR. MARK LEE GJERDE DDS (NPI 1588693170) is an individual general practice provider in Elk Grove, California, licensed in California (25711) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1588693170
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK LEE GJERDECredential: DDS
Location Address8880 ELK GROVE BLVDElk Grove, CA 95624-1832
Mailing Address11841 Ringwood RdWilton, CA 95693-9638 · (916) 687-6513
Fax(916) 685-6449
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1588693170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 25711
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.
8880 ELK GROVE BLVD, Elk Grove, CA 95624

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)
8880 ELK GROVE BLVD
ELK GROVE, CA 95624

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 Mark Gjerde's NPI number?

The NPI number for Mark Gjerde is 1588693170. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Mark Gjerde located?

Mark Gjerde practices at 8880 Elk Grove Blvd, Elk Grove, CA 95624. The listed phone number is (916) 685-2141.

What is Mark Gjerde'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 Mark Gjerde was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.