Individual provider · Type 1 NPI

Paul H. Bacon Jr., DDS

Pediatric Dentistry · Cleveland, TN

NPI number 1477538809 Active

Practice location

33 Mouse Creek Rd NW
Cleveland, TN 37312-4840

Call (423) 479-9395 Map

Fax (423) 479-8372

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1477538809

Paul H. Bacon Jr., DDS's National Provider Identifier is 1477538809, issued on Dec 8, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Cleveland, TN. The record was last updated on Jul 13, 2026.