DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LARRY A BRAITHWAITE, DDS

Active

DR. LARRY A BRAITHWAITE, DDS is a Dentist healthcare provider located in PROVO, Utah. NPI 1265549810 is currently active in the NPPES registry. Verify at CMS.

Dentist · PROVO, UT

Registration Details

NPI Number
1265549810
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2006 (19.939568210445 yrs)
Last Updated
Jul 8, 2007
License
317547 (UT)

Practice Information

Address
1675 NORTH 200 WEST
BLDG 12A
PROVO, UT, 84604
Browse UT providers · Browse ZIP 84604
Phone
8013754600
Fax
8013754617
Primary Specialty
Dentist
122300000X

Other Dentist Providers in PROVO, UT

Name Credential NPI
RAYMOND HEATH HENDRICKSON DDS 1932116589
GARY BRENT WIEST D.M.D. 1538178884
NOELLE L WILHELMSEN DDS 1013001718
DR. GARY M HULET DMD 1053490441
MR. MYLES A PREBLE DMD 1306980586
DEAN F ROBINSON DMD 1386770915
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.