Individual provider · Type 1 NPI

Larry Edison Baucom, DDS

General Practice Dentistry · Pinehurst, NC

NPI number 1720158504 Active

Practice location

305 Page Rd. North
Pinehurst, NC 28374

Fax (910) 295-1367

Mailing address

PO Box 789
Pinehurst, NC 28370-0789

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3258 (NC)

General Practice Dentistry: 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.

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About NPI 1720158504

Larry Edison Baucom, DDS's National Provider Identifier is 1720158504, issued on Nov 8, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pinehurst, NC. The record was last updated on Jul 8, 2007.