# ELAINE L. VAN, DDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316342694
- **Authorized official:** ELAINE L VAN DDS (OWNER)
- **Authorized official phone:** (408) 778-4548

## Contact information

- **Practice address:** 17020 CONDIT RD, \#180, MORGAN HILL, CA 95037-7229
- **Practice address phone:** (408) 778-4548
- **Practice address fax:** (408) 778-4648
- **Mailing address:** 17020 CONDIT RD, \#180, MORGAN HILL, CA 95037-7229
- **Mailing address phone:** (408) 778-4548
- **Mailing address fax:** (408) 778-4648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 42621 | CA | Yes |

## Other

- **Enumeration date:** 10/29/2014
- **Last updated:** 10/29/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1497801336 | DENTI-CAL | CA |