Samuel Bacon, D.D.S
NPI 1811070857 · on the registry since 2006 · sole proprietor
Practice
- Address
- 7340 Crossing Pl
Ste 200
Fishers, IN 46038 - Phone
- (317) 570-5480
- Fax
- (317) 570-5481
- Organisation at this address
- Rli Dental, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana