KELTON ERICSON DMD MD PLLC
NPI 1790532901
Dentist - Oral and Maxillofacial Surgery in Phoenix, AZ

Q: What is Kelton Ericson Dmd MD PLLC's NPI number?

The NPI number for Kelton Ericson Dmd MD PLLC is 1790532901. It was assigned to this organization in the NPPES registry on May 4, 2024.

Q: What is Kelton Ericson Dmd MD PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since May 04, 2024

8043 N 10TH ST, PHOENIX, AZ 85020(602) 758-9009 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 13, 2024, May 4, 2024 (2 updates tracked since 2024).

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About Kelton Ericson Dmd Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELTON ERICSON DMD MD PLLC (NPI 1790532901) is a healthcare organization registered as an oral and maxillofacial surgery in Phoenix, Arizona and active in the NPI registry since May 2024. The organization lists Kelton Ericson, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1790532901

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameKELTON ERICSON DMD MD PLLC

Location Address8043 N 10TH STPhoenix, AZ 85020-3770

Mailing Address8043 N 10th StPhoenix, AZ 85020-3770 · (602) 758-9009

Phone(602) 758-9009

Organization SubpartNo

Authorized OfficialKelton EricsonOwner/doctor · (602) 758-9009

Enumeration DateMay 4, 2024

Last NPPES UpdateMay 13, 20242 updates tracked since enumeration

NPPES CertifiedMay 13, 2024

✔ NPI 1790532901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in 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.

8043 N 10TH ST, Phoenix, AZ 85020

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelton Ericson Dmd MD PLLC's NPI number?

The NPI number for Kelton Ericson Dmd MD PLLC is 1790532901. It was assigned to this organization in the NPPES registry on May 4, 2024.

Where is Kelton Ericson Dmd MD PLLC located?

Kelton Ericson Dmd MD PLLC is located at 8043 N 10th St, Phoenix, AZ 85020. The listed phone number is (602) 758-9009.

What is Kelton Ericson Dmd MD PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Kelton Ericson Dmd MD PLLC was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.