OrganizationActive
Elder Dental Corp
NPI 1568905917 · Dentist · Vallejo, CA
Elder Dental Corp is a Dentist organization in Vallejo, CA (NPI 1568905917).
Provider details
- NPI number
- 1568905917
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mahr Elder, Owner(415) 890-1190
- License
- 93771 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19 Rotary Way
Vallejo, CA 94591-8475
Phone: (415) 890-1190
Street-level locationGet directions
Mailing address
19 Rotary Way
Vallejo, CA 94591-8475
Registry dates
- Enumerated
- 2016-12-01
- Last updated
- 2016-12-02
Frequently asked questions
- What is Elder Dental Corp's NPI number?
- Elder Dental Corp's National Provider Identifier (NPI) is 1568905917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elder Dental Corp?
- Elder Dental Corp is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Elder Dental Corp located?
- Elder Dental Corp's practice location on file with NPPES is 19 Rotary Way, Vallejo, CA 94591-8475.
- What is Elder Dental Corp's phone number?
- The practice phone number listed in the NPPES registry for Elder Dental Corp is (415) 890-1190.
- Who is the authorized official for Elder Dental Corp?
- The authorized official listed on Elder Dental Corp's NPPES record is Mahr Elder, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elder Dental Corp's NPI active?
- Yes — Elder Dental Corp's NPI (1568905917) is active in the NPPES registry as of the last update on 2016-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.