Individual provider · Type 1 NPI
Julie Ann Bacon, DDS MS
Periodontics · Elmhurst, IL
NPI number
1124163555
Active
Practice location
183 Addison
Elmhurst, IL 60126
Fax (630) 832-6041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 0210002163 (IL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Elmhurst
About NPI 1124163555
Julie Ann Bacon, DDS MS's National Provider Identifier is 1124163555, issued on Feb 21, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Elmhurst, IL. The record was last updated on Jul 8, 2007.