Elite Dental Services

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41202 Issued in CA

Legal business name

ELITE DENTAL SERVICES

Practice address

12291 Apple Valley Rd
Apple Valley, CA 92308-1701

Phone

(760) 247-3030

Fax

(760) 247-3030

NPI assigned

Aug 6, 2009

Organization subpart

Yes

Parent organization

ELITE DENTAL SERVICESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory Eric Olafsen

Title

D.D.S.

Phone

(760) 247-3030

Specialties & licenses 1

Addresses

Tax ID family

Barstow Family Dental2 organizations share this tax ID, including this one

Part of

Barstow Family Dental

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Barstow Family Dental

  • General Practice Dentistry
  • Barstow, CA
  • NPI 1093947814
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miriam Angelina Enriquez, DDS

  • General Practice Dentistry
  • Apple Valley, CA
  • NPI 1356508337
  NPD (past)
• Vincent Phillip Olafsen, DDS

  • Dentist
  • Apple Valley, CA
  • NPI 1871259747
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1184855124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12291 APPLE VALLEY RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081701",
            "telephone_number": "760-247-3030",
            "fax_number": "760-247-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 APPLE VALLEY RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081701",
            "telephone_number": "760-247-3030",
            "fax_number": "760-247-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE DENTAL SERVICES",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "OLAFSEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "D.D.S.",
        "authorized_official_telephone_number": "760-247-3030"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Edwards
• Russell Egbert
• Susanne Eisenhart
• Elyse Gail Eiser, RN, CNM, RNP
• Joseph E Eiswert, D.M.D.
• Elite Physicians Inc.
• Lavina Ellison
• Embracing Oak Birth Center, LLC
• Embracing Oak Midwifery
• William Curtis Emick

• General Practice Dentistry in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.