Provider Demographics
NPI:1629025960
Name:ELAHI, JAFFAR M (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:JAFFAR
Middle Name:M
Last Name:ELAHI
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:JEFF
Other - Middle Name:
Other - Last Name:ELAHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10325 E RIGGS RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SUN LAKES
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-7623
Mailing Address - Country:US
Mailing Address - Phone:480-883-8000
Mailing Address - Fax:480-883-1147
Practice Address - Street 1:10325 E RIGGS RD
Practice Address - Street 2:SUITE 109
Practice Address - City:SUN LAKES
Practice Address - State:AZ
Practice Address - Zip Code:85248-7623
Practice Address - Country:US
Practice Address - Phone:480-883-8000
Practice Address - Fax:480-883-1147
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD47951223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics