# DR. BOBBY LARRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063684280
- **Legal business name:** CORPORATION
- **Authorized official:** DR. BOBBY LARRY DDS (DENTIST)
- **Authorized official phone:** (615) 329-0008

## Contact information

- **Practice address:** 2011 CHARLOTTE AVE, NASHVILLE, TN 37203-2017
- **Practice address phone:** (615) 329-0008
- **Practice address fax:** (615) 320-0035
- **Mailing address:** 2011 CHARLOTTE AVE, NASHVILLE, TN 37203-2017
- **Mailing address phone:** (615) 329-0008
- **Mailing address fax:** (615) 320-0035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5404 | TN | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 03/27/2008