Larry E.Baucom, D.D.S., P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3258 Issued in NC

Legal business name

LARRY E.BAUCOM, D.D.S., P.A.

Practice address

305 Page Rd.
Suite 2
Pinehurst, NC 28374

Phone

(910) 295-1010

Fax

(910) 295-1367

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Larry E. Baucom, D.D.S.NPI 1720158504

Title

Owner

Phone

(910) 295-1010

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Edison Baucom, D.D.S.

  • General Practice Dentistry
  • Pinehurst, NC
  • NPI 1720158504
  NPD (past) Authorized official
• Laura L. Wellener, D.D.S.

  • Dentist
  • Pinehurst, NC
  • NPI 1609054246
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083732747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283700789",
            "telephone_number": "910-295-1010",
            "fax_number": "910-295-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PAGE RD.",
            "address_2": "SUITE 2",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-295-1010",
            "fax_number": "910-295-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY E.BAUCOM, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUCOM",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-295-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "3258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas E Lam, MD
• Stephanie Runa Lambert
• Mark Douglas Landers, MD
• Sharon Landers, RD
• Maryellen C Lane, NNP
• Leanna Faye Lassiter, FNP
• Laura L. Wellener, D.D.S., P.a.
• Katelyn Reino Lawrence, FNP-C
• Kelli Lawrence, MSW, LCSW-A
• Sara Ann Lawrence, AGACNP-BC

• Dental Clinic/Center in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.