Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHAD KELLY BOOTH, D.M.D.
ActiveDR. CHAD KELLY BOOTH, D.M.D. is a Dentist healthcare provider located in PROVO, Utah. NPI 1942464078 is currently active in the NPPES registry. Verify at CMS.
Dentist · PROVO, UT
Registration Details
- NPI Number
- 1942464078
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2008 (18.047786013481 yrs)
- Last Updated
- Apr 15, 2020
- Licenses
-
6977043 (UT)6977043-9923 (UT)
Practice Information
- Address
-
589 SOUTH STATE STREETPROVO, UT, 846065056Browse UT providers · Browse ZIP 84606
- Phone
- 8014292000
- Fax
- 8014292001
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| RAYMOND HEATH HENDRICKSON | DDS | 1932116589 |
| GARY BRENT WIEST | D.M.D. | 1538178884 |
| DR. LARRY A BRAITHWAITE | DDS | 1265549810 |
| NOELLE L WILHELMSEN | DDS | 1013001718 |
| DR. GARY M HULET | DMD | 1053490441 |
| MR. MYLES A PREBLE | DMD | 1306980586 |
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.