Dr. Samuel Bacon is a Fishers, Indiana based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Samuel Bacon is
12010486 for Dentistry in Indiana. His current practice location is
7340 Crossing Pl, Ste 200, Fishers. Patients can reach him at
317-570-5480.
Dr. Samuel Bacon is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Samuel Bacon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Samuel Bacon |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 7340 Crossing Pl, Ste 200, Fishers,
Indiana, 46038-2785 |
| Phone: | 317-570-5480 |
| Fax: | 317-570-5481 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1811070857 |
| NPI Enumeration Date: | 23 Oct, 2006 |
| NPI Last Update On: | 12 May, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Samuel Bacon are as mentioned below.
| License Number | Specialization | State | Status | |
| 12010486 | Dentistry | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Samuel Bacon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200402720 | Medicaid | Indiana | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7340 Crossing Pl, Ste 200
Fishers, Indiana |
| Zip: | 46038-2785 |
| Phone Number: | 317-570-5480 |
| Fax Number: | 317-570-5481 |
Patients can reach Dr. Samuel Bacon at
7340 Crossing Pl, Ste 200, Fishers, Indiana or can
call to book an appointment on 317-570-5480.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.