# CARMEL DENTAL CARE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124121793
- **Authorized official:** SANDRA BACON DDS (OWNER)
- **Authorized official phone:** (317) 848-1771

## Contact information

- **Practice address:** 1980 E 116TH ST, SUITE 150, CARMEL, IN 46032-3599
- **Practice address phone:** (317) 848-1771
- **Practice address fax:** (317) 848-1371
- **Mailing address:** 1980 E 116TH ST, SUITE 150, CARMEL, IN 46032-3599
- **Mailing address phone:** (317) 848-1771
- **Mailing address fax:** (317) 848-1371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009028 | IN | — |
| 1223G0001X | General Practice Dentistry | 54001033A | IN | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 08/22/2020