Individual
DR. JONATHAN PATRICK BACON
Active
Individual
DR. JONATHAN PATRICK BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.028385
OH
1223D0004X
Dental Anesthesiology
Primary
15309
MD
1223D0004X
Dental Anesthesiology
Primary
30.028385
OH
1223P0221X
Pediatric Dentistry
15309
MD
Other
Enumeration date
06/20/2013
Last updated
08/05/2026
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