Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL BACON, D.D.S.
Active Sole ProprietorDR. SAMUEL BACON, D.D.S. is a Dentist healthcare provider located in FISHERS, Indiana. NPI 1811070857 is currently active in the NPPES registry. Verify at CMS.
Dentist · FISHERS, IN
Registration Details
- NPI Number
- 1811070857
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.801608880313 yrs)
- Last Updated
- May 12, 2008
- License
-
12010486 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7340 CROSSING PLSTE 200FISHERS, IN, 460382785Browse IN providers · Browse ZIP 46038
- Phone
- 3175705480
- Fax
- 3175705481
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FISHERS, IN
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES P. SUKURS | D.D.S. | 1326088170 |
| DR. JAMES WILLIAM GORDON III | DDS | 1386650497 |
| DR. SARAH ANN KNOWLES | DDS | 1508875436 |
| DR. LISBETH ANN RANDALL | DDS | 1235248469 |
| DR. BREANN MICHELE MUNDY | DDS | 1760566541 |
| DR. RODERICK RYAN DOWDEN | DDS | 1225114630 |
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.