Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Larry Alan Bacon, DDS

Oral and Maxillofacial Surgery (Dentist) in Kingsport, TN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295736304

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Registry record

Entity type Individual (Type 1)

Name Dr. Larry Alan Bacon

Credential DDS

Sex Male

Practice address 117 W Sevier Ave, Suite 220, Kingsport, TN, 37660

Phone (423) 224-3200

Enumeration date Aug 10, 2005

Last updated in NPPES Mar 1, 2012

Taxonomy & licenses

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License DS2171 (TN) Primary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier	Type	State	Issuer
1609878388	Other	TN	ORGANIZATION NPI
3726194	Other	TN	MEDICARE GROUP NUMBER
1518969229	Other	TN	ORGANIZATION NPI
1972504389	Other	-	ORGANIZATION NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Larry Bacon's NPI record?

Cross-check NPI 1295736304 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1295736304 active?

Yes, as of the latest NPPES snapshot, NPI 1295736304 is active (record last updated 2012-03-01).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-01.