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

Mark Maher Wadie Elia, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205535366

Mark Maher Wadie Elia, DDS is a Student in an Organized Health Care Education/Training Program in Jbsa Lackland, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
Specialties on file
2
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

2133 Klinker St Bldg 3352
Jbsa Lackland, TX 78236-5313
Phone: (210) 292-6258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 39858 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205535366
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 27, 2023
Last updated in NPPESJune 5, 2024
Certification dateMay 29, 2024
Mailing address2133 Klinker Street, Building 3352, Jbsa Lackland, TX 78236-5313

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