MEDICARE: DR. HOWARD M. ELSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	DS018967L	PA

General Provider Information

NPI Number	:	1518003870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. HOWARD M. ELSON

Provider Business Mailing Address
First Line	:	332 5TH AVE
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15132-2633
Country	:	US
Telephone Number	:	412-672-4077
Fax Number	:	412-672-4570

Provider Business Practice Location Address
First Line	:	332 5TH AVE
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15132-2633
Country	:	US
Telephone Number	:	412-672-4077
Fax Number	:	412-672-4570

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HOWARD M. ELSON
Credential	:	D.M.D.
Telephone Number	:	412-672-4077

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	08/22/2020

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