Kenneth Jerome Deacon in Baltimore - General Practice
Kenneth Jerome Deacon - NPI 1093921868
Kenneth Jerome Deacon is a General Practice in Baltimore, Maryland. Kenneth Jerome Deacon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Jerome Deacon is 1093921868. The last update date is 2015-12-20.
Kenneth Jerome Deacon's current location address is 9100 Franklin Square Dr, Baltimore, Maryland. You can contact this provider via phone number 4108876440. The mailing address for Kenneth Jerome Deacon is 9100 Franklin Square Dr, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Jerome Deacon |
|---|---|
| Address | 9100 Franklin Square Dr, Baltimore, Maryland |
| Phone Number | 4108876440 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1093921868 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2015-12-20 |
Provider Mailing Address Detail
| Address | 9100 Franklin Square Dr |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212373903 |
| Phone Number | 4108876440 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8170 |
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Definition: 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. |
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What is the unique identifier code issued to Kenneth Jerome Deacon by the Centers for Medicare & Medicaid Services?
The Kenneth Jerome Deacon has been assigned the NPI (National Provider Identifier) 1093921868. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenneth Jerome Deacon located?
The Kenneth Jerome Deacon is located at 9100 Franklin Square Dr, Baltimore, MD 212373903.
What is Kenneth Jerome Deacon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth Jerome Deacon's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did Kenneth Jerome Deacon receive its 1093921868 assignment?
The Kenneth Jerome Deacon was assigned its 1093921868 on 2007-05-16, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Kenneth Jerome Deacon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth Jerome Deacon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-12-20.
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