Larry L Borth is a Periodontics in Bridgeton, Missouri. Larry L Borth practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Larry L Borth is 1982732541. The last update date is 2007-07-08.
Larry L Borth's current location address is 3394 Mckelvey Rd, Bridgeton, Missouri. You can contact this provider via phone number 3147394412 and fax number 3147394748. The mailing address for Larry L Borth is 3394 Mckelvey Rd, Bridgeton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry L Borth |
|---|---|
| Address | 3394 Mckelvey Rd, Bridgeton, Missouri |
| Phone Number | 3147394412 |
| Fax Number | 3147394748 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1982732541 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3394 Mckelvey Rd |
|---|---|
| City | Bridgeton |
| State | Missouri (MO) |
| Post Code | 630442531 |
| Phone Number | 3147394412 |
| Fax Number | 3147394748 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 12184 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identifier code issued to Larry L Borth by the Centers for Medicare & Medicaid Services?
The Larry L Borth has been assigned the NPI (National Provider Identifier) 1982732541. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Larry L Borth located?
The Larry L Borth is located at 3394 Mckelvey Rd, Bridgeton, MO 630442531.
What is Larry L Borth's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry L Borth is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
When did Larry L Borth receive its 1982732541 assignment?
The Larry L Borth was assigned its 1982732541 on 2007-03-02, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Larry L Borth most recently updated or revised?
The details related to Larry L Borth, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.