Bacon, Troy

Bacon, Troy is an individual health care provider with primary practice located at 7275 Sw Dartmouth St Ste 180, Tigard OR 97223-8292. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bacon, Troy can be contacted via phone (503) 620-2319.

Contact Information

Primary practice address
7275 Sw Dartmouth St Ste 180 Tigard OR 97223-8292
Phone: (503) 620-2319
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D10295 Oregon
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DE60576800 Washington

Profile Details

NPI number 1154692911
LBN Legal business name Bacon, Troy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2012
Last updated Jul 29th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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