# LARRY L HEMBY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710182365
- **Authorized official:** DR. LARRY LOU HEMBY D.D.S. (DENTIST)
- **Authorized official phone:** (910) 457-5026

## Contact information

- **Practice address:** 621A N FODALE AVE, SOUTHPORT, NC 28461-3550
- **Practice address phone:** (910) 457-5026
- **Practice address fax:** (910) 457-6207
- **Mailing address:** 621A N FODALE AVE, SOUTHPORT, NC 28461-3550
- **Mailing address phone:** (910) 457-5026
- **Mailing address fax:** (910) 457-6207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4065 | NC | Yes |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 893776 | OTHER | NC |
| 05 | — | 8993776 | — | NC |