DR. LARRY ALAN BACON DDS
NPI 1295736304
Dentist - Oral and Maxillofacial Surgery in Kingsport, TN

Q: What is Larry Bacon's NPI number?

The NPI number for Larry Bacon is 1295736304. It was assigned to this individual provider in the NPPES registry on August 10, 2005. The provider is also known as Dr. L Alan Bacon Dds.

Q: What is Larry Bacon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Larry Bacon was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2005

117 W SEVIER AVE, SUITE 220, KINGSPORT, TN 37660(423) 224-3200 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Larry Alan Bacon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY ALAN BACON DDS (NPI 1295736304) is an individual oral and maxillofacial surgery provider in Kingsport, Tennessee, licensed in Tennessee (DS2171) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1295736304

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. LARRY ALAN BACONCredential: DDS

Location Address117 W SEVIER AVE, SUITE 220Kingsport, TN 37660-3799

Mailing Address117 W Sevier Ave, Suite 220Kingsport, TN 37660-3799 · (423) 224-3200 · Fax (423) 224-3208

Phone(423) 224-3200

Sole ProprietorNo

Enumeration DateAugust 10, 2005

Last NPPES UpdateMarch 1, 2012

✔ NPI 1295736304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in TN · DS2171

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

117 W SEVIER AVE, Kingsport, TN 37660

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Other Names 1

Other Name (5)Dr. L Alan Bacon Dds

Other Identifiers 6

Other3726194TN · Medicare Group Number

Other1972504389Organization Npi

Medicare UPINT73952TN

Other1609878388TN · Organization Npi

Medicare PIN3218775TN

Other1518969229TN · Organization Npi

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN R COLLINS DDS

Dentist (Oral and Maxillofacial Surgery)

117 W SEVIER AVE, SUITE 220
KINGSPORT, TN 37660

Sullivan County (423) 224-3200

SALLIE H LIVELY NP

Nurse Practitioner (Family)

117 W SEVIER AVE, SUITE 100
KINGSPORT, TN 37660

Sullivan County (423) 224-3300

DEOMICK HARRIS

Dentist

117 W SEVIER AVE
KINGSPORT, TN 37660

Sullivan County (704) 258-4106

DR. JOHN MICHAEL CONSTANTINE D.M.D.

Dentist

117 W SEVIER AVE
KINGSPORT, TN 37660

Sullivan County (423) 933-3981

JASON D PICKUP DMD

Dentist (Oral and Maxillofacial Surgery)

117 W SEVIER AVE, SUITE 220
KINGSPORT, TN 37660

Sullivan County (423) 224-3200

APPALACHIAN REHABILITATION PROFESSIONALS, PC

Physical Medicine & Rehabilitation

117 W SEVIER AVE, STE 120
KINGSPORT, TN 37660

Sullivan County (423) 392-8100

DR. MICHAEL DAVID FOSTER DMD, MPH

Dentist (Oral and Maxillofacial Surgery)

117 W SEVIER AVE, SUITE 220
KINGSPORT, TN 37660

Sullivan County (423) 224-3200

DR. LARRY D LUETHKE DDS

Dentist (Oral and Maxillofacial Surgery)

117 W SEVIER AVE, SUITE 220
KINGSPORT, TN 37660

Sullivan County (423) 224-3200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Bacon's NPI number?

The NPI number for Larry Bacon is 1295736304. It was assigned to this individual provider in the NPPES registry on August 10, 2005. The provider is also known as Dr. L Alan Bacon Dds.

Where is Larry Bacon located?

Larry Bacon practices at 117 W Sevier Ave Suite 220, Kingsport, TN 37660. The listed phone number is (423) 224-3200.

What is Larry Bacon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Larry Bacon was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.