Larry E.baucom, D.d.s., P.a.

NPI 1083732747 - Clinic/Center - 261QD0000X

NPI Details
NPI 1083732747
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY E. LARRY
Position OWNER
Phone (910) 295-1010
Fax (910) 295-1367
Practice Location
305 PAGE RD.
SUITE 2
PINEHURST NC, 28374, US
Phone (910) 295-1010
Fax (910) 295-1367
Business Location
PO BOX 789
PINEHURST NC, 28370-0789, US
Phone (910) 295-1010
Fax (910) 295-1367
Toxanomy
Taxonomy Code 261QD0000X
License State North Carolina
License Number 3258
Remove 1083732747 NPI Number
 

According to our database, Larry E.baucom, D.d.s., P.a. NPI is 1083732747, taxonomy code is 261QD0000X and license number is 3258, license state is located at North Carolina. Larry E.baucom, D.d.s., P.a. physically located at 305 Page Rd., Pinehurst NC, 28374. NPI Number 1033115704 has the healthcare provider type.

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1083732747 NPI number is provided on an as is basis without warranty of any kind. 1083732747 is maintained by the National Plan & Provider Enumeration System. The contents of Larry E.baucom, D.d.s., P.a. are for informational purposes only.