Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184504805 Individual Practitioner Female Practitioner

Dr. Lara Elijah , DDS

Dentist • Mentone, CA

Professional Overview & Biography Verified Profile Summary

Dr. Lara Elijah, DDS is a registered healthcare professional specializing in Dentist in Mentone, CA. Practice services are available at 10275 AGATE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10275 Agate Ave

Mentone, CA 923591378

Telephone 6197924321

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mentone, CA

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

Practicing in Mentone, 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

CMS Verified: 2025-09-03
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 112342

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 September 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2025

Registered at 10275 AGATE AVE, MENTONE, CA 923591378 (Tel: 6197924321)

📍
Updated Business Mailing Address September 03, 2025

Registered at 10275 AGATE AVE, MENTONE, CA 923591378

👤
Provider Name / Credentials Updated September 03, 2025

Recorded as LARA ELIJAH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2025

Dentist (License #112342 in CA)

🟢
Initial NPI Registration & Enumeration September 03, 2025

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: 1184504805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2025
Last Update: September 03, 2025
Sole Proprietor: Yes

Mailing Address

10275 Agate Ave

Mentone, CA 923591378

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.