Larry Edison Baucom, D.D.S.

General Practice Dentistry · Pinehurst, NC

Individual Active NPI

NPI number 1720158504

Practice location

305 Page Rd. North
Pinehurst, NC 28374
Phone
(910) 295-1010
Fax
(910) 295-1367

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NPI record

NPI
1720158504
Entity type
Individual (Type 1)
Enumeration date
November 8, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3258 NC

Mailing address

PO Box 789
Pinehurst, NC 28370-0789
Phone
(910) 295-1010
Fax
(910) 295-1367

About Dr. Baucom

Larry Edison Baucom, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 305 Page Rd. North, Pinehurst, NC 28374. The NPI number 1720158504 was assigned on November 8, 2006 and the record was last updated on July 8, 2007.

Dr. Baucom lists a license in the registry: #3258 (NC) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Larry Edison Baucom, D.D.S.?

The NPI number is 1720158504.

What is the phone number of Dr. Baucom?

The phone number listed for the practice location is (910) 295-1010.

Where is Dr. Baucom located?

305 Page Rd. North, Pinehurst, NC 28374.

What is the taxonomy code for Dr. Baucom?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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