Individual
DR. TIM BACSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5895 E THOMPSON RD, INDIANAPOLIS, IN 46237-2590
(317) 784-5555
(317) 333-7446
Mailing address
5895 E THOMPSON RD, INDIANAPOLIS, IN 46237-2590
(317) 784-5555
(317) 333-7446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19026831
IN
1223G0001X
General Practice Dentistry
Primary
12010741A
IN
Other
Enumeration date
04/16/2007
Last updated
11/27/2019
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