Dr. Bobby Larry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5404 Issued in TN

Legal business name

DR. BOBBY LARRY

Practice address

2011 Charlotte Ave
Nashville, TN 37203-2017

Phone

(615) 329-0008

Fax

(615) 320-0035

NPI assigned

Mar 27, 2008

Organization subpart

Yes

Parent organization

CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bobby Larry, DDSNPI 1356330559

Title

Dentist

Phone

(615) 329-0008

Specialties & licenses 1

Addresses

Part of

Dr Bobby Larry

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bobby Lee Larry, DDS

  • General Practice Dentistry
  • Nashville, TN
  • NPI 1356330559
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1063684280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032017",
            "telephone_number": "615-329-0008",
            "fax_number": "615-320-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032017",
            "telephone_number": "615-329-0008",
            "fax_number": "615-320-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BOBBY LARRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORPORATION",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "LARRY",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "615-329-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "5404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Nashville, TN
• Providers in Nashville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.