Chad Booth, D.M.D
NPI 1942464078 · on the registry since 2008
Practice
- Address
- 589 South State Street
Provo, UT 84606 - Phone
- (801) 429-2000
- Fax
- (801) 429-2001
- Organisation at this address
- Mountainlands Family Pharmacy
Mountainlands Community Health Center, Inc
Mountainlands Community Health Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- General Practice Dentistry
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah