Bacon, John Leonard
Bacon, John Leonard is an sole proprietor health care provider with primary practice located at 323 N Leroux St Ste 100 , Flagstaff AZ 86001-4542. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bacon, John Leonard can be contacted via phone (928) 774-1168.Contact Information
Primary practice address
323 N Leroux St Ste 100
Flagstaff AZ 86001-4542
Phone: (928) 774-1168
Fax: (928) 779-6349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3596 | Arizona |
Profile Details
| NPI number | 1427198522 |
|---|---|
| LBN Legal business name | Bacon, John Leonard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Apr 3rd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427198522 | NPPES |
| Arizona | Other | 3596 | STATE LICENSE |
Popular Providers
-
Haag, Louis Richard
1815 N. Thistle Rd. , Flagstaff AZ 86004 -
Castle, Mark J
2700 S Woodlands Village Blvd Suite 390, Flagstaff AZ 86001-7114 -
Barnes, Thomas T
2500 N Rose St , Flagstaff AZ 86004-3659 -
Motlagh, Shokofeh
2200 E Cedar Ave Ste 5 , Flagstaff AZ 86004-1958 -
Tilts, Brandon John
518 N Beaver St Suite A, Flagstaff AZ 86001-3020 -
Tilts, Dawn O
518 N Beaver St Suite A, Flagstaff AZ 86001-3020 -
Oldroyd, Roger David
2532 E 7Th Ave , Flagstaff AZ 86004-3719 -
Greene, Mark J
10 W Hunt Ave , Flagstaff AZ 86001-3018