Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811336142 Individual Practitioner Male Practitioner

Dr. Jonathan Patrick Bacon , DDS

Dentist - Dentist Anesthesiologist • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Bacon, DDS is a registered healthcare professional specializing in Dentist - Dentist Anesthesiologist in Cincinnati, OH. Practice services are available at 3333 BURNET AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3333 Burnet Ave

Cincinnati, OH 452293026

Telephone 4109791999
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Dentist Anesthesiologist in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Cincinnati, OH (23 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: 2026-08-05
Dentist - Dentist Anesthesiologist Primary Specialty

NUCC Taxonomy Code: 1223D0004X

State License OH 30.028385

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

Dentist

NUCC Taxonomy Code: 122300000X

State License OH 30.028385

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Preeyacha Pacharn , MD

Radiology - Pediatric Radiology

NPI 1003012964

Doctor of Medicine (M.D.)

Dr. Brian Turpin , DO

Pediatrics - Pediatric Hematology-Oncology

NPI 1003023045

Doctor of Osteopathic Medicine (D.O.)

Dr. Ethan Musgrave , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003023060

Doctor of Medicine (M.D.)

Dr. Kathryn Weaver , MD

Medical Genetics - Clinical Genetics (M.D.)

NPI 1003050998

Doctor of Medicine (M.D.)

Elizabeth Moore , CNP

Nurse Practitioner - Acute Care

NPI 1003151614

Certified Nurse Practitioner

Constance Martin , CNP

Nurse Practitioner - Primary Care

NPI 1003257874

Certified Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2026

Dentist (License #30.028385 in OH)

📍
Updated Practice Location July 10, 2026

Registered at 3333 BURNET AVE, CINCINNATI, OH 452293026 (Tel: 4109791999)

📍
Updated Business Mailing Address July 10, 2026

Registered at 3333 BURNET AVE, CINCINNATI, OH 452293026

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2026

Dentist (License #30.028385 in OH)

📍
Updated Business Mailing Address October 09, 2019

Registered at 1220 CARAWAY CT STE 1050, UPPER MARLBORO, MD 207745338

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2019

Dentist (License #15309 in MD)

NPI Profile Active August 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2013

Registered at 2700 QUARRY LAKE DR STE 190, BALTIMORE, MD 212093743 (Tel: 4104844401)

📍
Updated Business Mailing Address August 12, 2013

Registered at 2700 QUARRY LAKE DR STE 190, BALTIMORE, MD 212093743

👤
Provider Name / Credentials Updated August 12, 2013

Recorded as JONATHAN BACON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2013

Dentist (License #15309 in MD)

🟢
Initial NPI Registration & Enumeration June 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1811336142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2013
Last Update: August 05, 2026
Sole Proprietor: Yes

Mailing Address

3333 Burnet Ave

Cincinnati, OH 452293026

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.