Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.