Organization
DR ALLAN T BACON II DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN THOMSON BACON II DDS (PRESIDENT OWNER)
(301) 791-0333
Entity
Organization
Contact information
Practice address
1329 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3107
(301) 791-0333
(301) 791-0337
Mailing address
1329 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3107
(301) 791-0333
(301) 791-0337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5839
MD
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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