Ericson, Kelton

Ericson, Kelton is an individual health care provider with primary practice located at 3382 E Speedway Blvd , Tucson AZ 85716-3936. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ericson, Kelton can be contacted via phone (602) 758-9009.

Contact Information

Primary practice address
3382 E Speedway Blvd Tucson AZ 85716-3936
Phone: (602) 758-9009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D011686 Arizona

Profile Details

NPI number 1972981025
LBN Legal business name Ericson, Kelton
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2015
Last updated May 15th, 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.

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