Larry Bacon, DDS
NPI 1295736304 · Oral and Maxillofacial Surgery (Dentist) · Kingsport, TN
Larry Bacon, DDS is a Oral and Maxillofacial Surgery (Dentist) provider in Kingsport, TN (NPI 1295736304).
Provider details
- NPI number
- 1295736304
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DS2171 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2012-03-01
Frequently asked questions
- What is Larry Bacon's NPI number?
- Larry Bacon's National Provider Identifier (NPI) is 1295736304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Bacon's specialty?
- Larry Bacon is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Larry Bacon located?
- Larry Bacon's practice location on file with NPPES is 117 W Sevier Ave, Kingsport, TN 37660-3799.
- What is Larry Bacon's phone number?
- The practice phone number listed in the NPPES registry for Larry Bacon is (423) 224-3200.
- Is Larry Bacon's NPI active?
- Yes — Larry Bacon's NPI (1295736304) is active in the NPPES registry as of the last update on 2012-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.