Healthcare Provider Details

I. General information

NPI: 1306631478
Provider Name (Legal Business Name): ROBERT LEON ELKIND DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 N PROVIDENCE RD
MEDIA PA
19063-2599
US

IV. Provider business mailing address

519 CLARENDON CT
YARDLEY PA
19067-4775
US

V. Phone/Fax

Practice location:
  • Phone: 610-565-0525
  • Fax:
Mailing address:
  • Phone: 917-968-2901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS045123
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: