Active NPIIndividual provider

Glenn S Bacon, DO

Anesthesiology in Dover, New Hampshire

NPI Number1780662262
Practice location
789 Central Ave, Wentworth Douglass Hospital, Dover, NH 03820
Fax
603-749-2453
Last updated
March 6, 2015

Glenn S Bacon is an Anesthesiology based in Dover, NH. Glenn S Bacon practices in Dover, NH and has the professional credentials of DO. The NPI Number for Glenn S Bacon is 1780662262 and holds a License No. 9896 (NH). The current practice location address for Glenn S Bacon is 789 Central Ave, Wentworth Douglass Hospital, Dover, NH 03820 and can be reached out via phone at 603-749-7246 and via fax at 603-749-2453.

Provider Profile Details

NPI Number
1780662262
Provider Name
Glenn S Bacon
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
789 Central Ave, Wentworth Douglass Hospital, Dover, NH 03820
Phone Number
603-749-7246
Fax Number
603-749-2453
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
No
Provider Enumeration Date
January 5, 2006
Last Update Date
March 6, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
789 Central Ave
Wentworth Douglass Hospital
Dover, NH 03820
City
Dover
Zip
03820
Phone Number
603-749-7246
Fax Number
603-749-2453
Dover, NH 03820Get directions →

Provider Business Mailing Address Details

Address
3998 Fair Ridge Dr
Ste 300
Fairfax, VA 22033-2921
City
Fairfax
State
VA
Zip
22033-2921
Phone Number
703-295-9360
Fax Number
703-766-9725

License Information

License Number
9896
License State
NH
Taxonomy
Anesthesiology · 207L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Glenn S Bacon, DO?

The NPI number of Glenn S Bacon, DO is 1780662262. It was assigned on January 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Glenn S Bacon, DO?

Glenn S Bacon, DO is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NH under license number 9896.

Where does Glenn S Bacon, DO practice?

The practice location is 789 Central Ave, Wentworth Douglass Hospital, Dover, NH 03820. The office can be reached at 603-749-7246 (phone) or 603-749-2453 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780662262 directly on the NPPES registry website.

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