Bacon, Jonathan Patrick

Bacon, Jonathan Patrick is an sole proprietor health care provider with primary practice located at 2700 Quarry Lake Dr Ste 190 , Baltimore MD 21209-3743. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist Anesthesiologist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Bacon, Jonathan Patrick can be contacted via phone (410) 484-4401.

Contact Information

Primary practice address
2700 Quarry Lake Dr Ste 190 Baltimore MD 21209-3743
Phone: (410) 484-4401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X 15309 Maryland
Dental Providers / Pediatric Dentistry 1223P0221X 15309 Maryland

Profile Details

NPI number 1811336142
LBN Legal business name Bacon, Jonathan Patrick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2013
Last updated Oct 9th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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