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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518939388 NPPES
Rhode Island MEDICAID ME1187

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