Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelton Ericson, DMD, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972981025

Kelton Ericson, DMD, MD is a Student in an Organized Health Care Education/Training Program in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3382 E Speedway Blvd
Tucson, AZ 85716-3936
Phone: (602) 758-9009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D011686 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972981025
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedMay 8, 2015
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023

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