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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PAUL H BACON JR. DDS
NPI 1477538809
Dentist - Pediatric Dentistry in Cleveland, TN

Active since December 08, 2005
33 MOUSE CREEK RD NW, CLEVELAND, TN 37312(423) 479-9395(423) 479-8372 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul H Bacon Jr. Dds NPPES

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

DR. PAUL H BACON JR. DDS (NPI 1477538809) is an individual pediatric dentistry provider in Cleveland, Tennessee and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1477538809
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. PAUL H BACON JR.Credential: DDS
Location Address33 MOUSE CREEK RD NWCleveland, TN 37312-4840
Mailing Address33 Mouse Creek Rd NwCleveland, TN 37312-4840 · (423) 479-9395 · Fax (423) 479-8372
Phone(423) 479-9395
Fax(423) 479-8372
Sole ProprietorNo
Enumeration DateDecember 8, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1477538809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
33 MOUSE CREEK RD NW, Cleveland, TN 37312
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Other Identifiers 1

Medicaid6744TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DENTAL ASSOCIATES OF CLEVELAND
Clinic/Center (Dental)
33 MOUSE CREEK RD NW
CLEVELAND, TN 37312
Bradley County (423) 813-7020
RESTORATION SLEEP SOLUTIONS LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
33 MOUSE CREEK RD NW
CLEVELAND, TN 37312
Bradley County (423) 473-3104

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 Paul Bacon's NPI number?

The NPI number for Paul Bacon is 1477538809. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Paul Bacon located?

Paul Bacon practices at 33 Mouse Creek Rd NW, Cleveland, TN 37312. The listed phone number is (423) 479-9395.

What is Paul Bacon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Paul Bacon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Paul Bacon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Bacon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.