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

M Elder Dental Group Corporation

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1215599394

M Elder Dental Group Corporation is an Oral and Maxillofacial Surgery (Dentist) in San Jose, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

704 Blossom Hill Rd Ste 102
San Jose, CA 95123-5403
Phone: (408) 225-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1215599394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emmy Montes — Director Of Centralized Billing · (415) 246-6305
NPI enumeratedJune 28, 2019
Last updated in NPPESJune 28, 2019
Mailing address446 Merlot Ln, American Canyon, CA 94503-1243

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