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.

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)

Practice location

19 Rotary Way

Vallejo, CA 94591-8475

Phone: (415) 890-1190

Street-level locationGet directions

More CA providers

Mailing address

19 Rotary Way

Vallejo, CA 94591-8475

Specialties & taxonomies

DentistPrimary122300000XLicense 93771 (CA)
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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions