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

Dr. Chad Kelly Booth, DMD

Individual provider General Practice Dentistry · NPI 1942464078

Dr. Chad Kelly Booth, DMD is a General Practice Dentistry in Provo, Utah. Licensed in Utah. Registered with an NPI since 2008.

Licensed in
UT
In the registry since
2008
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

589 S State St
Provo, UT 84606-5056
Phone: (801) 429-2000
Fax: (801) 429-2001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6977043-9923 (UT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 6977043 (UT)

Record details

NPI number1942464078
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 17, 2008
Last updated in NPPESApril 15, 2020
Certification dateApril 15, 2020

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