DR. JONATHAN PATRICK BACON (NPI# 1811336142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811336142 |
Entity Type | Individual |
Full Name | DR. JONATHAN PATRICK BACON |
Credential | D.D.S. |
Practice Address |
2700 Quarry Lake Dr Ste 190 Baltimore MD 21209-3743 |
Mailing Address |
1220 Caraway Ct Ste 1050 Upper Marlboro MD 20774-5338 |
Practice Telephone | 4104844401 |
Enumeration Date | 2013-06-20 |
Last Update Date | 2019-10-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
15309 | MD | Dental Providers |
Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
15309 | MD | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366506388 | Jonathan P Bacon | Orthopaedic Surgery | 78 Dolphin Point Dr, Beaufort, SC 29907-1715 | 2006-12-21 |
1386924348 | Jonathan Mark Bacon | Pharmacist | 1533 South Blvd, Charlotte, NC 28203-4723 | 2011-08-23 |
Street Address |
2700 QUARRY LAKE DR STE 190 |
City | BALTIMORE |
State | MD |
Zip Code | 21209-3743 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659996239 | Esther Deena Kahn | Occupational Therapist | 2325 Blackberry Rd, Baltimore, MD 21209 | 2020-06-10 |
1356988059 | Bunny's Home Care, LLC | Home Health Aide | 1340 Smith Avenue, Baltimore, MD 21209 | 2019-12-02 |
1982241626 | Mary Della-davis | Technician, Other | 1621 Sulgrave Ave, Attn: Village Electrolysis, Baltimore, MD 21209 | 2019-12-02 |
1982161246 | Sylvia Stewart Powell | Social Worker | 4600 Falls Road, Baltimore, MD 21209 | 2019-02-22 |
1811452279 | Honeyb Wellness | Counselor | 4639 Falls Rd, Baltimore, MD 21209 | 2019-02-09 |
1417448861 | Ting-jia Rosalinda Huang Lorigiano | Student in an Organized Health Care Education/Training Program | 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-05-22 |
1427546126 | Lea Jane Selitsky | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-04-27 |
1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
1083118418 | Jerome N Beck | Speech-Language Pathologist | 5710 Newbury St., Baltimore, MD 21209 | 2018-03-21 |
1700309002 | Michelle Demeule-hayes | Dietitian, Registered | 1708 West Rogers Ave, Baltimore, MD 21209 | 2017-07-19 |
Find all providers in zip 21209 |
Taxonomy Code | 1223D0004X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dentist Anesthesiologist |
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457646218 | Albert R Conley | Dentist | 7511 New Hampshire Ave, Takoma Park, MD 20912-6969 | 2011-06-09 |
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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.