Paul H Bacon in Cleveland - Pediatric Dentistry
Paul H Bacon - NPI 1477538809
Paul H Bacon is a Pediatric Dentistry in Cleveland, Tennessee. Paul H Bacon practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Paul H Bacon is 1477538809. The last update date is 2007-07-08.
Paul H Bacon's current location address is 33 Mouse Creek Rd Nw, Cleveland, Tennessee. You can contact this provider via phone number 4234799395 and fax number 4234798372. The mailing address for Paul H Bacon is 33 Mouse Creek Rd Nw, Cleveland, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul H Bacon |
|---|---|
| Address | 33 Mouse Creek Rd Nw, Cleveland, Tennessee |
| Phone Number | 4234799395 |
| Fax Number | 4234798372 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1477538809 |
|---|---|
| Provider Enumeration Date | 2005-12-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 33 Mouse Creek Rd Nw |
|---|---|
| City | Cleveland |
| State | Tennessee (TN) |
| Post Code | 373124840 |
| Phone Number | 4234799395 |
| Fax Number | 4234798372 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6744 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Paul H Bacon by the Centers for Medicare & Medicaid Services?
The Paul H Bacon has been assigned the NPI (National Provider Identifier) 1477538809. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Paul H Bacon's physical address?
The Paul H Bacon is physically located at 33 Mouse Creek Rd Nw, in the city of Cleveland, TN, with the postal code 373124840.
What is Paul H Bacon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Paul H Bacon's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When did Paul H Bacon receive its 1477538809 assignment?
The Paul H Bacon was assigned its 1477538809 on 2005-12-08, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Paul H Bacon most recently updated or revised?
The details related to Paul H Bacon, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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