Bacon, Jason T
Bacon, Jason T is an sole proprietor health care provider with primary practice located at 201 S. Rogers Rd. , Irving TX 75060-2608. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bacon, Jason T can be contacted via phone (972) 213-0045.Contact Information
Primary practice address
201 S. Rogers Rd.
Irving TX 75060-2608
Phone: (972) 213-0045
Fax: (972) 600-8465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 24381 | Texas |
| Dental Providers / General Practice | 1223G0001X | 57878 | California |
Profile Details
| NPI number | 1336394568 |
|---|---|
| LBN Legal business name | Bacon, Jason T |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2008 |
| Last updated | Jun 26th, 2024 - about 5 months 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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