Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Jerome Deacon, DDS

Individual provider General Practice Dentistry · NPI 1093921868

Dr. Kenneth Jerome Deacon, DDS is a General Practice Dentistry in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

9100 Franklin Square Dr Eastern Family Resource Center Dental Clinic
Baltimore, MD 21237-3903
Phone: (410) 887-6440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8170 (MD)

Record details

NPI number1093921868
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESDecember 20, 2015
Mailing address3525 Resource Dr, Randallstown, MD 21133-4733

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