Jack A Elder, DDS - Dentist in Benicia, CA

Jack A Elder, DDS is a Dentist based in Benicia, California. Jack A Elder is licensed to practice in California (license number 55157) and his current practice location is 172 East D Street, Benicia, California. He can be reached at his office (for appointments etc.) via phone at (707) 745-3820.

NPI number for Jack A Elder is 1164509832 and his current mailing address is 172 East D Street, Benicia, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164509832.

Contact Information

Jack A Elder, DDS
172 East D Street,
Benicia, CA 94510
(707) 745-3820
(707) 746-5196



Healthcare Provider's Profile

Full NameJack A Elder
GenderMale
SpecialityDentist
Location172 East D Street, Benicia, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164509832
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 06/03/2009

Medical Identifiers

Medical identifiers for Jack A Elder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164509832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 55157 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack A Elder is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack A Elder, DDS
172 East D Street,
Benicia, CA 94510-0954

Ph: (707) 745-3820
Jack A Elder, DDS
172 East D Street,
Benicia, CA 94510

Ph: (707) 745-3820

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Dentist in Benicia, CA

Dr. Mazin Albayati, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 125 E N St, Benicia, CA 94510
Phone: 707-745-0636    
Dr. Christopher Scott Swoboda, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1387 E 2nd St, Benicia, CA 94510
Phone: 707-746-1234    Fax: 707-746-1211
Dr. Todd Alan Loftin, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 321 First Street, Suite 203, Benicia, CA 94510
Phone: 707-745-8264    
Brian A Houston, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 142 E D St, Benicia, CA 94510
Phone: 707-745-8002    
Dr. Jessica Posadas Quiba, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 125 E N St, Benicia, CA 94510
Phone: 707-745-0636    
Dr. Patrick L Roetzer, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 142 E D St, Benicia, CA 94510
Phone: 707-745-8002    Fax: 707-745-6347

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