| Gary L. Bacon D.D.S., P.C. | |
|
9670 E Washington St Ste 220 Indianapolis IN 46229-3032 | |
| (317) 897-1147 | |
| (317) 897-1286 |
| Full Name | Gary L. Bacon D.D.S., P.C. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9670 E Washington St Ste 220, Indianapolis, Indiana |
| Authorized Official Name and Position | Gary L Bacon (OWNER) |
| Authorized Official Contact | 3178971147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L. Bacon D.D.S., P.C. 9670 E Washington St Ste 220 Indianapolis IN 46229-3032 Ph: (317) 897-1147 | Gary L. Bacon D.D.S., P.C. 9670 E Washington St Ste 220 Indianapolis IN 46229-3032 Ph: (317) 897-1147 |
| NPI Number | 1023263845 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 11/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023263845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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