IndividualActive
Larry Borth, DDS
NPI 1982732541 · Periodontics · Bridgeton, MO
Provider details
- NPI number
- 1982732541
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 012184 (MO)
Specialties & taxonomies
Dental Providers
Practice location
3394 Mckelvey Rd
Suite 104
Bridgeton, MO 63044-2531
Phone: (314) 739-4412
Fax: (314) 739-4748
Approximate (ZIP-level) locationGet directions
Mailing address
3394 Mckelvey Rd
Bridgeton, MO 63044-2531
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.