Elson, Martin T
Elson, Martin T is an individual health care provider with primary practice located at 1265 Reservoir Ave , Cranston RI 02920-6060. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Elson, Martin T can be contacted via phone (401) 464-6406.Contact Information
Primary practice address
1265 Reservoir Ave
Cranston RI 02920-6060
Phone: (401) 464-6406
Fax: (401) 464-6466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2506 | Rhode Island |
Profile Details
| NPI number | 1518939388 |
|---|---|
| LBN Legal business name | Elson, Martin T |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jun 5th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518939388 | NPPES |
| Rhode Island | MEDICAID | ME1187 |
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