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

Jack A Elder, DDS

Individual provider Dentist · NPI 1164509832

Jack A Elder, DDS is a Dentist in Benicia, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

172 E D St
Benicia, CA 94510
Phone: (707) 745-3820
Fax: (707) 746-5196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 55157 (CA)

Record details

NPI number1164509832
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJune 3, 2009
Mailing address172 East D Street, Benicia, CA 94510-0954

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