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Bacsa Dental PC — NPI 1912139841, Indianapolis, IN | NPI Central

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NPI 1912139841

OrganizationActive

Bacsa Dental PC

NPI 1912139841 · Preferred Provider Organization · Indianapolis, IN

Provider details

NPI number: 1912139841
Entity type: Organization
Primary specialty: Preferred Provider OrganizationManaged Care Organizations
Organization subpart: No
Authorized official: Timothy Bacsa, President(317) 258-0309
License: 12010741A (IN)

Specialties & taxonomies

Preferred Provider OrganizationPrimary305R00000XLicense 12010741A (IN)
Managed Care Organizations

Practice location

4625 S Emerson Ave

Indianapolis, IN 46203-5972

Phone: (317) 784-5555

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

8805 Knotty Pine Ct

Indianapolis, IN 46227-9764

Other names (DBA / former)

Doing business as: Emerson Avenue Detnal

Registry dates

Enumerated: 2009-08-11
Last updated: 2009-08-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.