Bacon, Tracy Lynn
Bacon, Tracy Lynn is an individual health care provider with primary practice located at 906 E Washington St , South Bend IN 46617-3108. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Bacon, Tracy Lynn can be contacted via phone (574) 282-1390.Contact Information
Primary practice address
906 E Washington St
South Bend IN 46617-3108
Phone: (574) 282-1390
Fax: (574) 282-1394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12010041A | Indiana |
Profile Details
| NPI number | 1023099959 |
|---|---|
| LBN Legal business name | Bacon, Tracy Lynn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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