Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elder Dental Corp

Organization Dentist · NPI 1568905917

Elder Dental Corp is a Dentist in Vallejo, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19 Rotary Way
Vallejo, CA 94591-8475
Phone: (415) 890-1190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 93771 (CA)

Record details

NPI number1568905917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mahr Elder — Owner · (415) 890-1190
NPI enumeratedDecember 1, 2016
Last updated in NPPESDecember 2, 2016
Mailing address19 Rotary Way, Vallejo, CA 94591-8475

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