Gary L. Bacon D.d.s., P.c.

NPI 1023263845 - Clinic/Center - 261QD0000X

NPI Details
NPI 1023263845
Enumeration Date 11/20/2008
Last Updated 11/20/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GARY L GARY
Position OWNER
Phone (317) 897-1147
Fax (317) 897-1286
Practice Location
9670 E WASHINGTON ST STE 220
INDIANAPOLIS IN, 46229-3032, US
Phone (317) 897-1147
Fax (317) 897-1286
Business Location
9670 E WASHINGTON ST STE 220
INDIANAPOLIS IN, 46229-3032, US
Phone (317) 897-1147
Fax (317) 897-1286
Toxanomy
Taxonomy Code 261QD0000X
License State
License Number
Remove 1023263845 NPI Number
 

According to our database, Gary L. Bacon D.d.s., P.c. NPI is 1023263845, taxonomy code is 261QD0000X Gary L. Bacon D.d.s., P.c. physically located at 9670 E Washington St Ste 220, Indianapolis IN, 46229-3032. NPI Number 1033115704 has the healthcare provider type.

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1023263845 NPI number is provided on an as is basis without warranty of any kind. 1023263845 is maintained by the National Plan & Provider Enumeration System. The contents of Gary L. Bacon D.d.s., P.c. are for informational purposes only.