| Dr Allan T Bacon Ii Dds Pa | |
|
1329 Pennsylvania Ave Hagerstown MD 21742-3107 | |
| (301) 791-0333 | |
| (301) 791-0337 |
| Full Name | Dr Allan T Bacon Ii Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1329 Pennsylvania Ave, Hagerstown, Maryland |
| Authorized Official Name and Position | Allan Thomson Bacon (PRESIDENT OWNER) |
| Authorized Official Contact | 3017910333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Allan T Bacon Ii Dds Pa 1329 Pennsylvania Ave Hagerstown MD 21742-3107 Ph: (301) 791-0333 | Dr Allan T Bacon Ii Dds Pa 1329 Pennsylvania Ave Hagerstown MD 21742-3107 Ph: (301) 791-0333 |
| NPI Number | 1508948316 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508948316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5839 (Maryland) | Primary |
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