Individual provider · Type 1 NPI

Samuel Bacon, DDS

Dentist · Fishers, IN

NPI number 1811070857 Active

Practice location

9865 E 116th St Ste 100
Fishers, IN 46037-9237

Fax (317) 570-5491

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X12010486 (IN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1811070857

Samuel Bacon, DDS's National Provider Identifier is 1811070857, issued on Oct 23, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fishers, IN. The record was last updated on Oct 21, 2026.