Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracy Lynn Bacon, DDS

Individual provider Dentist · NPI 1023099959

Tracy Lynn Bacon, DDS is a Dentist in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

906 E Washington St
South Bend, IN 46617-3108
Phone: (574) 282-1390
Fax: (574) 282-1394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12010041A (IN)

Record details

NPI number1023099959
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 8, 2005
Last updated in NPPESJuly 13, 2026
Mailing address906 E Washington St, South Bend, IN 46617-3108

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