| Dr Larry Alan Bacon, DDS | |
|
117 W Sevier Ave, Suite 220, Kingsport, TN 37660-3799 | |
| (423) 224-3200 | |
| Not Available |
| Full Name | Dr Larry Alan Bacon |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 117 W Sevier Ave, Kingsport, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295736304 | NPI | - | NPPES |
| 1609878388 | Other | TN | ORGANIZATION NPI |
| 3726194 | Other | TN | MEDICARE GROUP NUMBER |
| 1518969229 | Other | TN | ORGANIZATION NPI |
| 1972504389 | Other | ORGANIZATION NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS2171 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry Alan Bacon, DDS 117 W Sevier Ave, Suite 220, Kingsport, TN 37660-3799 Ph: (423) 224-3200 | Dr Larry Alan Bacon, DDS 117 W Sevier Ave, Suite 220, Kingsport, TN 37660-3799 Ph: (423) 224-3200 |
Dr. Mark E Morison, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1258 E Center St, Kingsport, TN 37660 Phone: 423-247-3171 Fax: 423-247-3172 | |
Dr. John Alan Smith, D.D.S.,P.C. Dentist Medicare: Medicare Enrolled Practice Location: 1599 Fort Henry Dr, Ste. 103, Kingsport, TN 37664 Phone: 423-247-7821 Fax: 423-247-2156 | |
Mark D. Buchanan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1420 E Stone Dr, Suite G, Kingsport, TN 37660 Phone: 423-247-6961 Fax: 423-247-5552 | |
Dr. John R Collins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 117 W Sevier Ave, Suite 220, Kingsport, TN 37660 Phone: 423-224-3200 Fax: 423-224-3208 | |
Dr. Rebecca Vestal, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2105 E Center St, Suite D, Kingsport, TN 37664 Phone: 423-247-2431 Fax: 423-247-3907 | |
Courtney Lahatte Blankenship, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 116 Jack White Dr Ste 12, Kingsport, TN 37664 Phone: 423-247-6961 | |
Thomas P King, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 909 North Wilcox Drive, Suite B, Kingsport, TN 37660 Phone: 423-378-3222 Fax: 423-378-5275 |