DR. LARRY EDISON BAUCOM D.D.S.
NPI 1720158504
Dentist - General Practice in Pinehurst, NC

Active since November 08, 2006
305 PAGE RD. NORTH, PINEHURST, NC 28374(910) 295-1010(910) 295-1367 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Larry Edison Baucom D.d.s. NPPES

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

DR. LARRY EDISON BAUCOM D.D.S. (NPI 1720158504) is an individual general practice provider in Pinehurst, North Carolina, licensed in North Carolina (3258) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1720158504
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LARRY EDISON BAUCOMCredential: D.D.S.
Location Address305 PAGE RD. NORTHPinehurst, NC 28374
Mailing AddressPo Box 789Pinehurst, NC 28370-0789 · (910) 295-1010 · Fax (910) 295-1367
Fax(910) 295-1367
Sole ProprietorYes
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720158504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 3258
Definition
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.
305 PAGE RD. NORTH, Pinehurst, NC 28374

Other Providers at the Same Location NPPES

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

Dentist
305 PAGE RD. NORTH, SUITE 2
PINEHURST, NC 28374

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 Baucom's NPI number?

The NPI number for Larry Baucom is 1720158504. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Larry Baucom located?

Larry Baucom practices at 305 Page Rd. North, Pinehurst, NC 28374. The listed phone number is (910) 295-1010.

What is Larry Baucom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Larry Baucom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.