Dr. Larry Alan Bacon
DDS | Oral and Maxillofacial Surgeon
117 W Sevier Ave, Suite 220, Kingsport
Tennessee, 37660-3799
423-224-3200 Maps & DirectionsDr. Larry Alan Bacon is a Kingsport, Tennessee based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Larry Alan Bacon is
DS2171 for Oral and Maxillofacial Surgery in Tennessee. His current practice location is
117 W Sevier Ave, Suite 220, Kingsport. Patients can reach him at
423-224-3200.
Dr. Larry Alan Bacon deals with 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.
Complete Profile:
Dr. Larry Alan Bacon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Larry Alan Bacon |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 117 W Sevier Ave, Suite 220, Kingsport,
Tennessee, 37660-3799 |
| Phone: | 423-224-3200 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1295736304 |
| NPI Enumeration Date: | 10 Aug, 2005 |
| NPI Last Update On: | 01 Mar, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larry Alan Bacon are as mentioned below.
| License Number | Specialization | State | Status | |
| DS2171 | Oral and Maxillofacial Surgery | Tennessee | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Larry Alan Bacon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1609878388 | Other | Tennessee | ORGANIZATION NPI |
| 3726194 | Other | Tennessee | MEDICARE GROUP NUMBER |
| 1518969229 | Other | Tennessee | ORGANIZATION NPI |
| 1972504389 | Other | | ORGANIZATION NPI |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 117 W Sevier Ave, Suite 220
Kingsport, Tennessee |
| Zip: | 37660-3799 |
| Phone Number: | 423-224-3200 |
| Fax Number: | 423-224-3208 |
Patients can reach Dr. Larry Alan Bacon at
117 W Sevier Ave, Suite 220, Kingsport, Tennessee or can
call to book an appointment on 423-224-3200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.