TRACY BACON, DDS

Dentist

Active Individual
NPI: 1023099959

Practice Address

906 E WASHINGTON ST
South Bend, IN 46617

Phone: (574) 282-1390

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 12010041A (IN)

Frequently Asked Questions

NPI 1023099959 is the National Provider Identifier for TRACY BACON, DDS, a Dentist provider located in South Bend, IN. This NPI was enumerated on November 8, 2005.
TRACY BACON, DDS practices at 906 E WASHINGTON ST, South Bend, IN 46617.

Quick Facts

NPI
1023099959
Type
Individual
Enumerated
Nov 8, 2005
Last Updated
Jul 8, 2007

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