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DR. KENNETH JEROME DEACON DDS
NPI 1093921868
Dentist - General Practice in Baltimore, MD

Active since May 16, 2007
9100 FRANKLIN SQUARE DR, EASTERN FAMILY RESOURCE CENTER DENTAL CLINIC, BALTIMORE, MD 21237(410) 887-6440 Get Directions Write a Review

NPPES record last updated: December 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Jerome Deacon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH JEROME DEACON DDS (NPI 1093921868) is an individual general practice provider in Baltimore, Maryland, licensed in Maryland (8170) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1093921868
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNETH JEROME DEACONCredential: DDS
Location Address9100 FRANKLIN SQUARE DR, EASTERN FAMILY RESOURCE CENTER DENTAL CLINICBaltimore, MD 21237-3903
Mailing Address3525 Resource DrRandallstown, MD 21133-4733 · (410) 887-0613 · Fax (410) 887-0713
Phone(410) 887-6440
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateDecember 20, 2015
✔ NPI 1093921868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 8170
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9100 FRANKLIN SQUARE DR, Baltimore, MD 21237
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LINDA BERNADETTE WILSON-LANIER RN
Registered Nurse (Community Health)
9100 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Baltimore County (410) 887-6452
BARBARA A MITCHELL L.C.S.W.
Social Worker
9100 FRANKLIN SQUARE DR, SUITE 200
BALTIMORE, MD 21237
Baltimore County (443) 777-7878
MR. BARRINGTON PAGE CAC-AD, CCDC
Counselor (Addiction (Substance Use Disorder))
9100 FRANKLIN SQUARE DR, 3RD FLOOR
BALTIMORE, MD 21237
Baltimore County (410) 887-6465
MELISSA A NEIN L.C.P.C.
Counselor (Professional)
9100 FRANKLIN SQUARE DR, SUITE 200
BALTIMORE, MD 21237
Baltimore County (443) 777-7878
SHAMIRA RICHBURG RN
Registered Nurse
9100 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Baltimore County (410) 887-6452
KRISTEN M WAGNER L.C.P.C.
Counselor (Professional)
9100 FRANKLIN SQUARE DR, SUITE 200
BALTIMORE, MD 21237
Baltimore County (443) 777-7878
WILLIAM J CONNOLLY L.C.S.W.
Social Worker
9100 FRANKLIN SQUARE DR, SUITE 200
BALTIMORE, MD 21237
Baltimore County (443) 777-7878
PATRICIA GIANNACCINI RN
Registered Nurse (Community Health)
9100 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Baltimore County (410) 887-6456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Deacon's NPI number?

The NPI number for Kenneth Deacon is 1093921868. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Kenneth Deacon located?

Kenneth Deacon practices at 9100 Franklin Square Dr Eastern Family Resource Center Dental Clinic, Baltimore, MD 21237. The listed phone number is (410) 887-6440.

What is Kenneth Deacon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenneth Deacon was last updated on December 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.