Elder Dental Corp

Elder Dental Corp is a healthcare organization registered as Dentist in Vallejo, CA, holding Type 2 (organization) NPI 1568905917 since 2016. The authorized official on file is Mahr Elder, Owner.

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NPI	1568905917
Entity type	Organization (Type 2)
Legal business name	Elder Dental Corp
Practice address	19 ROTARY WAY, Vallejo, CA, 94591
Phone	4158901190
Enumeration date	2016-12-01
Last updated in NPPES	2016-12-02

Authorized official

Name	Mahr Elder
Title	Owner
Phone	4158901190

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
122300000X	Dentist	Primary	93771	CA

Copy-ready billing details

Provider: Elder Dental Corp
NPI: 1568905917
Taxonomy: 122300000X (Dentist)
Address: 19 ROTARY WAY, Vallejo, CA, 94591

Providers at this address

NPI	Name	Type	Specialty	Location
1184601791	Jeffery Graves	Individual	Oral & Maxillofacial Surgery (D.M.D.)	Vallejo, CA

Verify this record

Cross-check NPI 1568905917 against the authoritative CMS record: view Elder Dental Corp on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-12-02. Verify at npiregistry.cms.hhs.gov.

Where is Elder Dental Corp located?

The practice location on file with NPPES is in Vallejo, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-12-02.