| Martin T Elson, DDS | |
|
1265 Reservoir Ave, Cranston, RI 02920-6060 | |
| (401) 464-6406 | |
| (401) 464-6466 |
| Full Name | Martin T Elson |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1265 Reservoir Ave, Cranston, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518939388 | NPI | - | NPPES |
| ME1187 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2506 (Rhode Island) | Primary |
| Entity Name | University Otolaryngology-head And Neck Surgery, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245350958 PECOS PAC ID: 3274613930 Enrollment ID: O20080107000870 |
| Entity Name | Oral Maxillofacial Surgeons Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457522005 PECOS PAC ID: 9234387697 Enrollment ID: O20120911000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin T Elson, DDS 1265 Reservoir Ave, Cranston, RI 02920-6060 Ph: (401) 464-6406 | Martin T Elson, DDS 1265 Reservoir Ave, Cranston, RI 02920-6060 Ph: (401) 464-6406 |
William Lord Delgizzo, DMD Dentist Medicare: Medicare Enrolled Practice Location: 30 Chapel View Boulevard, Suite 200, Chapel View Family & Cosmetic Dentistry, Cranston, RI 02920 Phone: 401-944-8103 Fax: 401-944-1854 | |
Juyoung An, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1090 New London Ave, Cranston, RI 02920 Phone: 401-943-7535 | |
Dr. Michael Robert Gallucci, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1249 Oaklawn Ave, Cranston, RI 02920 Phone: 401-463-8000 | |
Dr. Gregory R Bender, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 629 Budlong Road, Cranston, RI 02920 Phone: 401-944-3640 Fax: 401-944-0098 | |
Dr. Robert Carl Impagliazzo, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 712 Oaklawn Ave, Cranston, RI 02920 Phone: 401-944-6050 | |
Dr. Ricardo Burdiel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1090 New London Ave, Cranston, RI 02920 Phone: 401-463-9333 Fax: 401-463-6480 | |
Dr. Stephen J Puerini Jr., DMD Dentist Medicare: Medicare Enrolled Practice Location: 115 Budlong Rd, Cranston, RI 02920 Phone: 401-944-8100 |