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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TRACY LYNN BACON DDS
NPI 1023099959
Dentist in South Bend, IN

Active since November 08, 2005
906 E WASHINGTON ST, SOUTH BEND, IN 46617(574) 282-1390(574) 282-1394 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Lynn Bacon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY LYNN BACON DDS (NPI 1023099959) is an individual dentist in South Bend, Indiana, licensed in Indiana (12010041A) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1023099959
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameTRACY LYNN BACONCredential: DDS
Location Address906 E WASHINGTON STSouth Bend, IN 46617-3108
Mailing Address906 E Washington StSouth Bend, IN 46617-3108 · (574) 282-1390 · Fax (574) 282-1394
Phone(574) 282-1390
Fax(574) 282-1394
Sole ProprietorNo
Enumeration DateNovember 8, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1023099959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12010041A
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
906 E WASHINGTON ST, South Bend, IN 46617
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Indiana, HRI Dental & Vision, Paramount.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Bacon's NPI number?

The NPI number for Tracy Bacon is 1023099959. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Tracy Bacon located?

Tracy Bacon practices at 906 E Washington St, South Bend, IN 46617. The listed phone number is (574) 282-1390.

What is Tracy Bacon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Tracy Bacon accept?

Health plans from Delta Dental of Indiana, HRI Dental & Vision and Paramount list Tracy Bacon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy Bacon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.