DR. JONATHAN BACON, D.D.S.
Dentist - Dental Anesthesiology
Active
Individual
NPI: 1811336142
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Dental Anesthesiology | 1223D0004X | Yes | 15309 (MD) |
| Dentist - Pediatric Dentistry | 1223P0221X | No | 15309 (MD) |
Frequently Asked Questions
NPI 1811336142 is the National Provider Identifier for DR. JONATHAN BACON, D.D.S., a Dentist - Dental Anesthesiology provider located in Baltimore, MD. This NPI was enumerated on June 20, 2013.
DR. JONATHAN BACON, D.D.S. practices at 2700 QUARRY LAKE DR STE 190, Baltimore, MD 21209.
Quick Facts
- NPI
- 1811336142
- Type
- Individual
- Enumerated
- Jun 20, 2013
- Last Updated
- Oct 9, 2019
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