Gary Lee Bacon is a Dentist in Indianapolis, Indiana. Gary Lee Bacon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary Lee Bacon is 1386865558. The last update date is 2007-07-08.
Gary Lee Bacon's current location address is 316 Washington Pointe Drive, Indianapolis, Indiana. You can contact this provider via phone number 3178971147 and fax number 3178971286. The mailing address for Gary Lee Bacon is 316 Washington Pointe Drive, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Lee Bacon |
|---|---|
| Address | 316 Washington Pointe Drive, Indianapolis, Indiana |
| Phone Number | 3178971147 |
| Fax Number | 3178971286 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1386865558 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 316 Washington Pointe Drive |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 46229 |
| Phone Number | 3178971147 |
| Fax Number | 3178971286 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12009447A |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to Gary Lee Bacon by the Centers for Medicare & Medicaid Services?
The Gary Lee Bacon has been assigned the NPI (National Provider Identifier) 1386865558. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gary Lee Bacon's facilities are geographically located?
The facilities of Gary Lee Bacon are physically situated at the following location: 316 Washington Pointe Drive, Indianapolis, IN, 46229.
What is Gary Lee Bacon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary Lee Bacon's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386865558 to Gary Lee Bacon?
The Centers for Medicare & Medicaid Services assigned the 1386865558 to Gary Lee Bacon on 2007-05-02.
When was the information regarding Gary Lee Bacon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary Lee Bacon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.