Tracy Lynn Bacon is a Dentist in South Bend, Indiana. Tracy Lynn Bacon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tracy Lynn Bacon is 1023099959. The last update date is 2007-07-08.
Tracy Lynn Bacon's current location address is 906 E Washington St, South Bend, Indiana. You can contact this provider via phone number 5742821390 and fax number 5742821394. The mailing address for Tracy Lynn Bacon is 906 E Washington St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Lynn Bacon |
|---|---|
| Address | 906 E Washington St, South Bend, Indiana |
| Phone Number | 5742821390 |
| Fax Number | 5742821394 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1023099959 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 906 E Washington St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466173108 |
| Phone Number | 5742821390 |
| Fax Number | 5742821394 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12010041A |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tracy Lynn Bacon by the Centers for Medicare & Medicaid Services?
The Tracy Lynn Bacon has been issued the NPI (National Provider Identifier) 1023099959, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tracy Lynn Bacon's facilities are situated?
The facilities of Tracy Lynn Bacon are physically located at the following address: 906 E Washington St, South Bend, IN, 466173108.
What is Tracy Lynn Bacon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracy Lynn Bacon is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When was the Tracy Lynn Bacon's 1023099959 issued?
The Tracy Lynn Bacon's 1023099959 was issued on 2005-11-08.
As of what date was the information regarding Tracy Lynn Bacon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tracy Lynn Bacon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK