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:
Health care specialties
Specialty | Code | License # | 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 6 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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