MR. JASON TROY BACON (NPI# 1336394568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336394568 |
| Entity Type | Individual |
| Full Name | MR. JASON TROY BACON |
| Credential | DDS |
| Practice Address |
3701 W. Northwest Hwy Ste #306 Dallas TX 75220 |
| Practice Telephone | 2143530683 |
| Practice Fax Number | 9727648760 |
| Mailing Telephone | 2143530683 |
| Mailing Fax Number | 9727648760 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2015-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24381 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
57878 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205287869 | Jason Edward Bacon | Internal Medicine | 2401 S 31st St, Temple, TX 76508-1000 | 2016-06-24 |
| Street Address |
3701 W. NORTHWEST HWY STE #306 |
| City | DALLAS |
| State | TX |
| Zip Code | 75220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314736 | Maritza Garcia | Counselor | 3850 W Nothwest Hwy, #3004, Dallas, TX 75220 | 2020-07-28 |
| 1205379807 | Belamour Home Care | Home Health | 9711 Dale Crest Dr. #231, Dallas, TX 75220 | 2016-11-30 |
| 1760828404 | Chrisbibi Homehealth Agency Inc | Nursing Care | 2514 Community Dr Suite 107, Dallas, TX 75220 | 2013-05-21 |
| 1841540697 | Suzanne Eades | Psychologist | 9407 Midway Road, Dallas, TX 75220 | 2012-09-19 |
| 1215210141 | Susan Pham | Pharmacist | 3732 W. Northwest Hwy, Dallas, TX 75220 | 2011-09-27 |
| 1740507573 | Mifamilia Medical, Pllc | General Practice | 2445 W Northwest Hwy 105, Dallas, TX 75220 | 2010-05-04 |
| 1306173273 | Kevin Khoi Nguyen | Pharmacist | 3732 W Northwest Highway, Dallas, TX 75220 | 2009-11-12 |
| 1154554434 | Amanda L Carlile | Nurse Practitioner | 3978 Beechwood Ln, Dallas, TX 75220 | 2009-09-02 |
| 1417180373 | Lauri Ruth Jacoby-greenberg | Speech-Language Pathologist | 9741 Meadowbrook Dr., Dallas, TX 75220 | 2009-08-26 |
| 1114164480 | Hamid Reza Kashani Madjd | Dentist | 3701 W Northwest Highway, Suite # 306, Dallas, TX 75220 | 2009-01-08 |
| Find all providers in zip 75220 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1619589629 | Bahar Iranmehr | Dentist | 17390 Preston Rd Ste 242, Dallas, TX 75252-5781 | 2020-08-20 |
| 1598377657 | John Arthur Bounds IIi | Dentist | 4500 S Lancaster Rd # 160, Dallas, TX 75216-7167 | 2020-08-20 |
| 1023628633 | Allison Yost | Dentist | 6401 E Northwest Hwy Ste 100, Dallas, TX 75231-8007 | 2020-08-07 |
| 1669082905 | Jacob Hornberger | Dentist | 6500 E Mockingbird Ln Ste 115, Dallas, TX 75214-2483 | 2020-08-02 |
| 1346862117 | Cyprian Chibuzor Okobi Jr. | Dentist | 4646 Amesbury Dr Apt 514, Dallas, TX 75206-4896 | 2020-05-14 |
| 1316577463 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 5225 Belt Line Rd Ste 222, Dallas, TX 75254-1436 | 2020-01-16 |
| 1598312589 | Laura Gabriela Choque | Dentist | 9030 Southwestern Blvd Apt 3225, Dallas, TX 75214-1542 | 2019-08-23 |
| 1326694894 | Blake Collier Burnstad | Dentist | 7013 Kenwell St, Dallas, TX 75209-4840 | 2019-08-12 |
| 1538713011 | Preston Rsvi Pllc | Dentist | 13536 Preston Rd Ste 108, Dallas, TX 75240-5227 | 2019-08-01 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on MR. JASON TROY BACON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.