Organization
CARMEL DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BACON DDS (OWNER)
(317) 848-1771
Entity
Organization
Contact information
Practice address
1980 E 116TH ST, SUITE 150, CARMEL, IN 46032-3599
(317) 848-1771
(317) 848-1371
Mailing address
1980 E 116TH ST, SUITE 150, CARMEL, IN 46032-3599
(317) 848-1771
(317) 848-1371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12009028
IN
1223G0001X
General Practice Dentistry
Primary
54001033A
IN
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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