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
Mailing address1675 North 200 West, Bldg 12a, Provo, UT 84604

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