DR. LARRY BACON, DDS
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1295736304
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | DS2171 (TN) |
Frequently Asked Questions
NPI 1295736304 is the National Provider Identifier for DR. LARRY BACON, DDS, a Dentist - Oral and Maxillofacial Surgery provider located in Kingsport, TN. This NPI was enumerated on August 10, 2005.
DR. LARRY BACON, DDS practices at 117 W SEVIER AVE, SUITE 220, Kingsport, TN 37660.
Quick Facts
- NPI
- 1295736304
- Type
- Individual
- Enumerated
- Aug 10, 2005
- Last Updated
- Mar 1, 2012
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