Active NPIIndividual provider

Dr. Troy Bacon, DDS

Dentist, Orthodontics and Dentofacial Orthopedics in Tigard, Oregon

NPI Number1154692911
Practice location
7275 SW Dartmouth St, Ste 180, Tigard, OR 97223-8292
Fax
—
Last updated
July 29, 2015

Troy Bacon is a Dentist, Orthodontics and Dentofacial Orthopedics based in Tigard, OR. Troy Bacon practices in Tigard, OR and has the professional credentials of DDS. The NPI Number for Troy Bacon is 1154692911 and holds a License No. D10295 (OR). The current practice location address for Troy Bacon is 7275 SW Dartmouth St, Ste 180, Tigard, OR 97223-8292 and can be reached out via phone at 503-620-2319.

Provider Profile Details

NPI Number
1154692911
Provider Name
Troy Bacon
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7275 SW Dartmouth St, Ste 180, Tigard, OR 97223-8292
Phone Number
503-620-2319
Sole Proprietor
No
Provider Enumeration Date
January 25, 2012
Last Update Date
July 29, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
7275 SW Dartmouth St
Ste 180
Tigard, OR 97223-8292
City
Tigard
State
Oregon
Zip
97223-8292
Phone Number
503-620-2319
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
7610 N. Audubon
Spokane, WA 99208
City
Spokane
State
WA
Zip
99208
Phone Number
509-290-0960

License Information

License Number (1)
D10295
License State (1)
OR
Taxonomy (1)
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
License Number (2)
DE60576800
License State (2)
WA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Troy Bacon, DDS?

The NPI number of Dr. Troy Bacon, DDS is 1154692911. It was assigned on January 25, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Troy Bacon, DDS?

Dr. Troy Bacon, DDS is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in OR under license number D10295.

Where does Dr. Troy Bacon, DDS practice?

The practice location is 7275 SW Dartmouth St, Ste 180, Tigard, OR 97223-8292. The office can be reached at 503-620-2319 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154692911 directly on the NPPES registry website.

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