Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Larry A Braithwaite, DDS

Individual provider Dentist · NPI 1265549810

Dr. Larry A Braithwaite, DDS is a Dentist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1675 N 200 W Bldg 12A
Provo, UT 84604
Phone: (801) 375-4600
Fax: (801) 375-4617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 317547 (UT)

Record details

NPI number1265549810
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESJuly 8, 2007

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