Organization · Type 2 NPI
Larry E.baucom, D.d.s., P.a.
Dental Clinic/Center · Pinehurst, NC
NPI number
1083732747
Active
Practice location
305 Page Rd., Suite 2
Pinehurst, NC 28374
Fax (910) 295-1367
Mailing address
PO Box 789
Pinehurst, NC 28370-0789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3258 (NC) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Pinehurst
About NPI 1083732747
Larry E.baucom, D.d.s., P.a.'s National Provider Identifier is 1083732747, issued on Mar 27, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pinehurst, NC. The record was last updated on Aug 22, 2020.