David Robert Bacon
Dentist - General Practice • Ann Arbor, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Bacon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
David Bacon was a registered Dentist - General Practice practicing in Ann Arbor, MI. Throughout an active medical career spanning 18 years, David Bacon provided care at the practice location at 1817 W STADIUM BLVD until profile deactivation on 2025-01-30.
Practice Location & Contact Primary Location
1817 W Stadium Blvd
Ann Arbor, MI 481034577
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Ann Arbor, MI
Practicing in Ann Arbor, MI (4360 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
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Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 30, 2025
NPI status registered as active in NPPES database
Registered at 1817 W STADIUM BLVD, ANN ARBOR, MI 481034577 (Tel: 7346630100)
Registered at 1817 W STADIUM BLVD, ANN ARBOR, MI 481034577 (Tel: 7346630100)
Recorded as DAVID BACON
Dentist (License #9026 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1817 W Stadium Blvd
Ann Arbor, MI 481034577
Phone: 7346630100
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.