DR. LARRY L BORTH DDS
NPI 1982732541
Dentist - Periodontics in Bridgeton, MO

Active since March 02, 2007
3394 MCKELVEY RD, SUITE 104, BRIDGETON, MO 63044(314) 739-4412(314) 739-4748 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larry L Borth Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY L BORTH DDS (NPI 1982732541) is an individual periodontics provider in Bridgeton, Missouri, licensed in Missouri (012184) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1982732541
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. LARRY L BORTHCredential: DDS
Location Address3394 MCKELVEY RD, SUITE 104Bridgeton, MO 63044-2531
Mailing Address3394 Mckelvey Rd, Suite 104Bridgeton, MO 63044-2531 · (314) 739-4412 · Fax (314) 739-4748
Fax(314) 739-4748
Sole ProprietorYes
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1982732541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in MO · 012184
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 structures and tissues.
3394 MCKELVEY RD, Bridgeton, MO 63044

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3394 MCKELVEY RD
BRIDGETON, MO 63044
Counselor (Professional)
3394 MCKELVEY RD, SUITE 116
BRIDGETON, MO 63044
Counselor (Professional)
3394 MCKELVEY RD, 116
BRIDGETON, MO 63044
Surgery
3394 MCKELVEY RD, SUITE 115
BRIDGETON, MO 63044
Family Medicine
3394 MCKELVEY RD, SUITE 113
BRIDGETON, MO 63044
Family Medicine
3394 MCKELVEY RD, SUITE 104
BRIDGETON, MO 63044
General Practice
3394 MCKELVEY RD, STE 113
BRIDGETON, MO 63044
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3394 MCKELVEY RD, STE. 116
BRIDGETON, MO 63044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Borth's NPI number?

The NPI number for Larry Borth is 1982732541. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Larry Borth located?

Larry Borth practices at 3394 Mckelvey Rd Suite 104, Bridgeton, MO 63044. The listed phone number is (314) 739-4412.

What is Larry Borth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Larry Borth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.