| Thomas R. Bacon, Dds,pa | |
|
200 Broad Street Claremont NH 03743-1435 | |
| (603) 542-5197 | |
| (603) 542-3531 |
| Full Name | Thomas R. Bacon, Dds,pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 Broad Street, Claremont, New Hampshire |
| Authorized Official Name and Position | Thomas Raymond Bacon (PRESIDENT) |
| Authorized Official Contact | 6035425197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R. Bacon, Dds,pa Po Box 1435 200 Broad Street Claremont NH 03743-1435 Ph: (603) 542-5197 | Thomas R. Bacon, Dds,pa 200 Broad Street Claremont NH 03743-1435 Ph: (603) 542-5197 |
| NPI Number | 1023212354 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023212354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1486 (New Hampshire) | Primary |
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