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

Mervin L. Ellstrom DDS, Inc

Organization General Practice Dentistry · NPI 1912121781

Mervin L. Ellstrom DDS, Inc is a General Practice Dentistry in Moreno Valley, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12900 Perris Blvd Ste 101
Moreno Valley, CA 92553-4135
Phone: (951) 242-3431
Fax: (951) 242-7570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 24928 (CA)

Record details

NPI number1912121781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mervin Ellstrom — Owner President · (951) 242-3431
NPI enumeratedApril 12, 2007
Last updated in NPPESJanuary 7, 2010
Mailing address12900 Perris Blvd, Suite 101, Moreno Valley, CA 92553-4135

Other providers in Moreno Valley