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

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: July 19, 2026.

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

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About KELTON ERICSON DMD MD PLLC

This page provides the complete NPI Profile along with additional information for Kelton Ericson Dmd Md Pllc, a provider established in Phoenix, Arizona operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1790532901 assigned on May 2024. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kelton Ericson Dmd Md (Owner/doctor)

NPI
1790532901 Verify this NPI
Provider Name
KELTON ERICSON DMD MD PLLC
Entity Type
Organization
Location Address
8043 N 10TH ST PHOENIX, AZ 85020
Location Phone
(602) 758-9009
Mailing Address
8043 N 10TH ST PHOENIX, AZ 85020
Mailing Phone
(602) 758-9009
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2024
Last Update Date
05-13-2024
Code Navigator

A dentist like Kelton Ericson Dmd Md Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELTON ERICSON DMD MD

Authorized Official Title
OWNER/DOCTOR
Authorized Official Phone
(602) 758-9009

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790532901, enumerated as an "organization" on May 04, 2024.

The provider is located at 8043 N 10TH ST PHOENIX, AZ 85020 and the phone number is (602) 758-9009.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.