person
Kelton Ericson, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Tucson, Arizona
NPI 1972981025

Kelton Ericson is a Oral and Maxillofacial Surgery (Dentist) based in Tucson, AZ and is specialized in Oral and Maxillofacial Surgery. Kelton Ericson practices in Tucson, AZ and has the professional credentials of DMD,MD. The NPI Number for Kelton Ericson is 1972981025 and holds a License No. (Arizona).

The current practice location address for Kelton Ericson is 3382 E Speedway Blvd, Tucson, AZ and can be reached out via phone at 602-758-9009.

Location: 3382 E Speedway Blvd, Tucson, AZ, 85728-4369
person
Provider Profile Details
NPI Number
1972981025
Provider Name
Kelton Ericson
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
3382 E Speedway Blvd, Tucson, AZ, 85728-4369
Phone Number
602-758-9009
Fax Number
Provider Enumeration Date
05/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3382 E Speedway Blvd
City
State
Zip
85716-3936
Phone Number
602-758-9009
Fax Number
person
Provider Business Mailing Address Details
Address
3382 E Speedway Blvd
City
State
Zip
85716-3936
Phone Number
602-758-9009
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D011686 (Arizona)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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