Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY LYNN BACON, DDS
ActiveTRACY LYNN BACON, DDS is a Dentist healthcare provider located in SOUTH BEND, Indiana. NPI 1023099959 is currently active in the NPPES registry. Verify at CMS.
Dentist · SOUTH BEND, IN
Registration Details
- NPI Number
- 1023099959
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2005 (20.579723831574 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12010041A (IN)
Practice Information
- Address
-
906 E WASHINGTON STSOUTH BEND, IN, 466173108Browse IN providers · Browse ZIP 46617
- Phone
- 5742821390
- Fax
- 5742821394
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID M. FOLLIS | D.D.S. | 1457345688 |
| DR. THOMAS J ALLEN | D.D.S. | 1679567739 |
| DR. LORI F RISSER | DR | 1437262847 |
| DR. MICHAEL JOHN BUCZOLICH JR. | DDS | 1962510362 |
| DR. MARTIN RALPH SZAKALY | D.D.S. | 1750466280 |
| DR. TIMOTHY S KULIK | DDS | 1356428031 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.