Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164509832 Individual Practitioner Male Practitioner

Dr. Jack A Elder , DDS

Dentist • Benicia, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Elder, DDS is a registered healthcare professional specializing in Dentist in Benicia, CA. Practice services are available at 172 EAST D STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

172 East D Street

Benicia, CA 94510

Telephone 7077453820
Fax 7077465196
Associated Practice Facility / Clinic
🏢 Downtown Dental Benica Facility NPI 1437380300

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Benicia, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Benicia, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 55157

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 03, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2009

Registered at 172 EAST D STREET, BENICIA, CA 94510 (Tel: 7077453820)

📍
Updated Business Mailing Address June 03, 2009

Registered at 172 EAST D STREET, BENICIA, CA 945100954 (Tel: 7077453820)

👤
Provider Name / Credentials Updated June 03, 2009

Recorded as JACK ELDER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2009

Dentist (License #55157 in CA)

🟢
Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164509832
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: June 03, 2009
Sole Proprietor: No

Mailing Address

172 East D Street

Benicia, CA 945100954

Phone: 7077453820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.