Samuel Bacon, D.D.S.

Dentist · Fishers, IN

Individual Active NPI

NPI number 1811070857

Practice location

7340 Crossing Pl
Ste 200
Fishers, IN 46038-2785
Phone
(317) 570-5480
Fax
(317) 570-5481

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NPI record

NPI
1811070857
Entity type
Individual (Type 1)
Enumeration date
October 23, 2006
Last updated
May 12, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 12010486 IN

About Dr. Bacon

Samuel Bacon, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 7340 Crossing Pl, Ste 200, Fishers, IN 46038-2785. The NPI number 1811070857 was assigned on October 23, 2006 and the record was last updated on May 12, 2008.

Dr. Bacon lists a license in the registry: #12010486 (IN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samuel Bacon, D.D.S.?

The NPI number is 1811070857.

What is the phone number of Dr. Bacon?

The phone number listed for the practice location is (317) 570-5480.

Where is Dr. Bacon located?

7340 Crossing Pl, Ste 200, Fishers, IN 46038-2785.

What is the taxonomy code for Dr. Bacon?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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