Larry L. Borth, DDS

Periodontics · Bridgeton, MO

Individual Active NPI

NPI number 1982732541

Practice location

3394 McKelvey Rd
Suite 104
Bridgeton, MO 63044-2531
Phone
(314) 739-4412
Fax
(314) 739-4748

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NPI record

NPI
1982732541
Entity type
Individual (Type 1)
Enumeration date
March 2, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 012184 MO

About Dr. Borth

Larry L. Borth, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 3394 McKelvey Rd, Suite 104, Bridgeton, MO 63044-2531. The NPI number 1982732541 was assigned on March 2, 2007 and the record was last updated on July 8, 2007.

Dr. Borth lists a license in the registry: #012184 (MO) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Larry L. Borth, DDS?

The NPI number is 1982732541.

What is the phone number of Dr. Borth?

The phone number listed for the practice location is (314) 739-4412.

Where is Dr. Borth located?

3394 McKelvey Rd, Suite 104, Bridgeton, MO 63044-2531.

What is the taxonomy code for Dr. Borth?

The primary taxonomy code is 1223P0300X – Periodontics.

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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