Dr. Sandra E Bacon, DDS
Dentist, General Practice in Carmel, IN. Individual provider (NPI-1).
NPI number1164539318
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1164539318
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sandra E Bacon
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2006
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12009028 | IN | Yes |
Practice location
1980 E 116th StreetSte 150
Carmel, IN 46032
Phone 317-848-1771 · Fax 317-848-1371
Mailing address
1980 E 116th StreetSte 150
Carmel, IN 46032
Phone 317-848-1771 · Fax 317-848-1371
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