Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY L BORTH, DDS
Active Sole ProprietorDR. LARRY L BORTH, DDS is a Periodontology healthcare provider located in BRIDGETON, Missouri. NPI 1982732541 is currently active in the NPPES registry. Verify at CMS.
Periodontology · BRIDGETON, MO
Registration Details
- NPI Number
- 1982732541
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2007 (19.460973877986 yrs)
- Last Updated
- Jul 8, 2007
- License
-
012184 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3394 MCKELVEY RDSUITE 104BRIDGETON, MO, 630442531Browse MO providers · Browse ZIP 63044
- Phone
- 3147394412
- Fax
- 3147394748
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. TERRY R EGAN | DDS | 1649395393 |
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.