Larry A. Braithwaite, DDS
Dentist · Provo, UT
Practice location
1675 North 200 WestBldg 12a
Provo, UT 84604
- Phone
- (801) 375-4600
- Fax
- (801) 375-4617
NPI record
- NPI
- 1265549810
- Entity type
- Individual (Type 1)
- Enumeration date
- August 23, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
317547 | UT |
About Dr. Braithwaite
Larry A. Braithwaite, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1675 North 200 West, Bldg 12a, Provo, UT 84604. The NPI number 1265549810 was assigned on August 23, 2006 and the record was last updated on July 8, 2007.
Dr. Braithwaite lists a license in the registry: #317547 (UT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Larry A. Braithwaite, DDS?
The NPI number is 1265549810.
What is the phone number of Dr. Braithwaite?
The phone number listed for the practice location is (801) 375-4600.
Where is Dr. Braithwaite located?
1675 North 200 West, Bldg 12a, Provo, UT 84604.
What is the taxonomy code for Dr. Braithwaite?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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