Tracy Lynn Bacon is a South Bend, Indiana based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Tracy Lynn Bacon is 12010041A for Dentistry in Indiana. Her current practice location is 906 E Washington St, South Bend. Patients can reach her at 574-282-1390.
Tracy Lynn Bacon is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Tracy Lynn 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:
Tracy Lynn Bacon
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
906 E Washington St, South Bend, Indiana, 46617-3108
Phone:
574-282-1390
Fax:
574-282-1394
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:
1023099959
NPI Enumeration Date:
08 Nov, 2005
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tracy Lynn Bacon are as mentioned below.
License Number
Specialization
State
Status
12010041A
Dentistry
Indiana
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
906 E Washington St, South Bend, Indiana
Zip:
46617-3108
Phone Number:
574-282-1390
Fax Number:
574-282-1394
Patients can reach Tracy Lynn Bacon at 906 E Washington St, South Bend, Indiana or can call to book an appointment on 574-282-1390. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.