# ALVIN C. BACON, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538431036
- **Authorized official:** DR. ALVIN C BACON DO (OWNER)
- **Authorized official phone:** (401) 534-6784

## Contact information

- **Practice address:** 598 GREAT RD, LOWER LEVEL, NORTH SMITHFIELD, RI 02896-6810
- **Practice address phone:** (401) 534-6784
- **Practice address fax:** (401) 356-4990
- **Mailing address:** 33 CHAMBLY AVE, WARWICK, RI 02888-1805
- **Mailing address phone:** (401) 534-6784
- **Mailing address fax:** (401) 356-4990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO00461 | RI | Yes |

## Other

- **Enumeration date:** 01/31/2012
- **Last updated:** 04/26/2012