ELKEDWANI DENTAL CORPORATION
NPI 1720919566
Dentist - General Practice in Riverside, CA

Q: What is Elkedwani Dental Corporation's NPI number?

The NPI number for Elkedwani Dental Corporation is 1720919566. It was assigned to this organization in the NPPES registry on May 28, 2026. The provider is doing business as Legacy Dental of Riverside.

Q: What is Elkedwani Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 28, 2026

11695 SLATE AVE STE 100, RIVERSIDE, CA 92505(661) 264-8638 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Elkedwani Dental Corporation NPPES

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

ELKEDWANI DENTAL CORPORATION (NPI 1720919566), doing business as Legacy Dental Of Riverside, is a healthcare organization registered as a general practice in Riverside, California and active in the NPI registry since May 2026. The organization lists Mark Elkedwani, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1720919566

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameELKEDWANI DENTAL CORPORATION

Location Address11695 SLATE AVE STE 100Riverside, CA 92505-5195

Mailing Address11695 Slate Ave Ste 100Riverside, CA 92505-5195 · (661) 264-8638

Phone(661) 264-8638

Organization SubpartNo

Authorized OfficialMark ElkedwaniChief Clinical Officer · (661) 264-8638

Enumeration DateMay 28, 2026

NPPES CertifiedMay 28, 2026

✔ NPI 1720919566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

11695 SLATE AVE STE 100, Riverside, CA 92505

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Other Names 1

Doing Business AsLegacy Dental Of Riverside

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Elkedwani Dental Corporation's NPI number?

The NPI number for Elkedwani Dental Corporation is 1720919566. It was assigned to this organization in the NPPES registry on May 28, 2026. The provider is doing business as Legacy Dental of Riverside.

Where is Elkedwani Dental Corporation located?

Elkedwani Dental Corporation is located at 11695 Slate Ave Ste 100, Riverside, CA 92505. The listed phone number is (661) 264-8638.

What is Elkedwani Dental Corporation'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 Elkedwani Dental Corporation was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.