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Kenneth Deacon, DDS
NPI 1093921868 · on the registry since 2007
Practice
- Address
- 9100 Franklin Square Dr
Eastern Family Resource Center Dental Clinic
Baltimore, MD 21237 - Phone
- (410) 887-6440
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland