person
Dr. Paul H Bacon JR., DDS
Pediatric Dentist in Cleveland, Tennessee
NPI 1477538809

Paul H Bacon JR. is a Pediatric Dentist based in Cleveland, TN and is specialized in Pediatric Dentistry. Paul H Bacon JR. practices in Cleveland, TN and has the professional credentials of DDS. The NPI Number for Paul H Bacon JR. is 1477538809 and holds a License No. (Tennessee).

The current practice location address for Paul H Bacon JR. is 33 Mouse Creek Rd Nw, Cleveland, TN and can be reached out via phone at 423-479-9395 and via fax at 423-479-8372. You can also correspond with Paul H Bacon JR. through the mailing address at 33 MOUSE CREEK RD NW, CLEVELAND, TN - 37312-4840 (mailing address contact number: 423-479-9395).

Location: 33 Mouse Creek Rd Nw, Cleveland, TN, 37312-4840
person
Provider Profile Details
NPI Number
1477538809
Provider Name
Paul H Bacon JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
33 Mouse Creek Rd Nw, Cleveland, TN, 37312-4840
Phone Number
423-479-9395
Fax Number
423-479-8372
Provider Enumeration Date
12/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6744 05 TN
institution
Provider Business Practice Location Address Details
Address
33 Mouse Creek Rd Nw
City
State
Zip
37312-4840
Phone Number
423-479-9395
Fax Number
423-479-8372
person
Provider Business Mailing Address Details
Address
33 Mouse Creek Rd Nw
City
State
Zip
37312-4840
Phone Number
423-479-9395
Fax Number
423-479-8372
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
(Tennessee)
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.
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