Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427198522 Individual Practitioner Male Practitioner

Dr. John Leonard Bacon , DDS

Dentist • Flagstaff, AZ

Professional Overview & Biography Verified Profile Summary

Dr. John Bacon, DDS is a registered healthcare professional specializing in Dentist in Flagstaff, AZ. Practice services are available at 323 N LEROUX ST STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

323 N Leroux St Ste 100

Flagstaff, AZ 860014542

Telephone 9287741168
Fax 9287796349

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Flagstaff, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Flagstaff, AZ (1999 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-03
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ 3596

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
3596 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1316506330
Dr. Bradley Lerud , DDS

Dentist - General Practice

NPI 1427401827

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 03, 2020

Registered at 323 N LEROUX ST STE 100, FLAGSTAFF, AZ 860014542 (Tel: 9287741168)

📍
Updated Business Mailing Address April 03, 2020

Registered at 323 N LEROUX ST STE 100, FLAGSTAFF, AZ 860014542 (Tel: 9287741168)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 902 N BEAVER ST, FLAGSTAFF, AZ 860013108 (Tel: 9287741168)

📍
Updated Business Mailing Address July 08, 2007

Registered at 902 N BEAVER ST, FLAGSTAFF, AZ 860013108 (Tel: 9287741168)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN BACON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3596 in AZ)

🟢
Initial NPI Registration & Enumeration February 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. John Bacon. Be the first to share your experience!

Sign in to leave a review for Dr. John Bacon

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1427198522
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: April 03, 2020
Sole Proprietor: Yes

Mailing Address

323 N Leroux St Ste 100

Flagstaff, AZ 860014542

Phone: 9287741168

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.