LARRY E.BAUCOM, D.D.S., P.A. (NPI# 1083732747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083732747 |
| Entity Type | Organization |
| Organization Name | LARRY E.BAUCOM, D.D.S., P.A. |
| Practice Address |
305 Page Rd. Suite 2 Pinehurst NC 28374 |
| Mailing Address |
Po Box 789 Pinehurst NC 28370-0789 |
| Practice Telephone | 9102951010 |
| Practice Fax Number | 9102951367 |
| Mailing Telephone | 9102951010 |
| Mailing Fax Number | 9102951367 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LARRY E. BAUCOM (OWNER) |
| Authorized Official Telephone | 9102951010 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3258 | NC | Ambulatory Health Care Facilities |
| Street Address |
305 PAGE RD. SUITE 2 |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477084135 | James D. Medwick, Dmd, P.a. | Clinic/Center | 80 Memorial Dr, Pinehurst, NC 28374-8707 | 2017-03-24 |
| 1417125741 | Laura L. Wellener, D.d.s., P.a. | Clinic/Center | 305 Page Rd. N., Suite 2, Pinehurst, NC 28374 | 2008-02-20 |
| 1992143978 | Bird Family Dental, Pllc | Clinic/Center | 8 N Division St, Pinehurst, ID 83850 | 2013-06-12 |
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| 1871109041 | Steven D Robertson Dmd, Pa | Clinic/Center | 1613 Montford Dr Ste A, Charlotte, NC 28209-3793 | 2020-09-22 |
| 1477168532 | Caitlin Singleton Dds Pllc | Clinic/Center | 804 Desert Harbor Pl, Cary, NC 27519-9632 | 2020-09-14 |
| 1285243808 | Maja V Martin Dds Pa II | Clinic/Center | 4203 Corners Pkwy, Ste 100, Raleigh, NC 27617 | 2020-07-29 |
| 1265050504 | Hammock, Dmd & Lotakis, Dds X, Pllc | Clinic/Center | 9201 S Tryon St Ste A, Charlotte, NC 28273-4239 | 2020-07-13 |
| 1811514185 | Craig M. Mize Dds, Pa | Clinic/Center | 8300 Falls of Neuse Rd Ste 114, Raleigh, NC 27615-3450 | 2020-07-02 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1194349407 | Michelakis and Associates Pa | Clinic/Center | 1132 New Pointe Blvd Ste 4, Leland, NC 28451-4257 | 2020-06-02 |
| 1427677624 | New Hope Clinic, Inc. | Clinic/Center | 201 W Boiling Spring Rd, Southport, NC 28461-9730 | 2020-04-09 |
| 1699301440 | Tran and Javed Dds Pa | Clinic/Center | 6604 E Marshville Blvd Ste 1, Marshville, NC 28103-1198 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.