M ELDER D D S A PROFESSIONAL CORPORATION
NPI 1760633341
Dentist - Oral and Maxillofacial Surgery in Pinole, CA

Q: What is M Elder D D S A Professional Corporation's specialty?

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

Active since October 01, 2008

2150 APPIAN WAY STE 201, PINOLE ORAL SURGERY, PINOLE, CA 94564(510) 724-3922(510) 724-1037 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2016, Jun 17, 2016, Jan 29, 2016 (3 updates tracked since 2016).

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About M Elder D D S A Professional Corporation NPPES

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

M ELDER D D S A PROFESSIONAL CORPORATION (NPI 1760633341) is a healthcare organization registered as an oral and maxillofacial surgery in Pinole, California and active in the NPI registry since October 2008. The organization lists Mahr Fairuke Elder, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1760633341

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameM ELDER D D S A PROFESSIONAL CORPORATION

Location Address2150 APPIAN WAY STE 201, PINOLE ORAL SURGERYPinole, CA 94564-2520

Mailing Address140 Admiral Callaghan Lane Ste BVallejo, CA 94591 · (415) 892-1190 · Fax (415) 892-7355

Phone(510) 724-3922

Fax(510) 724-1037

Organization SubpartNo

Authorized OfficialMahr Fairuke ElderPresident / Ceo · (415) 892-1190

Enumeration DateOctober 1, 2008

Last NPPES UpdateAugust 18, 20163 updates tracked since enumeration

✔ NPI 1760633341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 46586

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.

2150 APPIAN WAY STE 201, Pinole, CA 94564

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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 2

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

PINOLE ORAL SURGERY

Dentist (Oral and Maxillofacial Surgery)

2150 APPIAN WAY STE 201
PINOLE, CA 94564

Contra Costa County (510) 724-3922

BAY AREA SURGICAL SPECIALISTS, INC. A MEDICAL CORPORATION

Internal Medicine (Sleep Medicine)

2150 APPIAN WAY STE 201
PINOLE, CA 94564

Contra Costa County (510) 724-5922

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 D D S A Professional Corporation's NPI number?

The NPI number for M Elder D D S A Professional Corporation is 1760633341. It was assigned to this organization in the NPPES registry on October 1, 2008.

Where is M Elder D D S A Professional Corporation located?

M Elder D D S A Professional Corporation is located at 2150 Appian Way Ste 201 Pinole Oral Surgery, Pinole, CA 94564. The listed phone number is (510) 724-3922.

What is M Elder D D S A Professional Corporation's specialty?

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

What insurance does M Elder D D S A Professional Corporation accept?

Health plans from UnitedHealthcare list M Elder D D S A Professional Corporation 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 M Elder D D S A Professional Corporation was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.