DR. John Leonard Bacon, D.D.S.

NPI #1427198522 in Flagstaff, Arizona

Provider Information

NPI Number: 1427198522
Entity Type: Individual
Name: DR. John Leonard Bacon, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 7, 2007
Last Updated: Apr 3, 2020

Practice Location

Address: 323 N LEROUX ST STE 100
City: Flagstaff
State: Arizona
ZIP Code: 86001-4542
Phone: (928) 774-1168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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