Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942464078 Individual Practitioner Male Practitioner

Dr. Chad Kelly Booth , DMD

Dentist • Provo, UT

Professional Overview & Biography Verified Profile Summary

Dr. Chad Booth, DMD is a registered healthcare professional specializing in Dentist in Provo, UT. Practice services are available at 589 SOUTH STATE STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

589 South State Street

Provo, UT 846065056

Telephone 8014292000
Fax 8014292001
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
28 Specialists

Practicing in Provo, UT (758 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-15
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License UT 6977043-9923

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License UT 6977043

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Kelly Daly-Wolfe , PA-C, RDN

Physician Assistant - Medical

NPI 1003334525

Physician Assistant (Certified), Registered Dietitian Nutritionist

Robert Rowe

Physician Assistant

NPI 1023541208
Carlos Tita , RN, CDCES

Registered Nurse - Ambulatory Care

NPI 1093649857

Registered Nurse, Certified Diabetes Care and Education Specialist

Maria Villagrana , APRN

Nurse Practitioner - Family

NPI 1295347169

Advanced Practice Registered Nurse

Haley Parker , PA-C

Physician Assistant

NPI 1356710412

Physician Assistant (Certified)

Dr. Vernon White , MD

Family Medicine

NPI 1396765376

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2012

Registered at 589 SOUTH STATE STREET, PROVO, UT 846065056 (Tel: 8014292000)

📍
Updated Business Mailing Address January 18, 2012

Registered at 589 SOUTH STATE STREET, PROVO, UT 846065056 (Tel: 8014292000)

👤
Provider Name / Credentials Updated January 18, 2012

Recorded as CHAD BOOTH, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2012

Dentist (License #6977043-9923 in UT)

🟢
Initial NPI Registration & Enumeration July 17, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942464078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2008
Last Update: April 15, 2020
Sole Proprietor: No

Mailing Address

589 South State Street

Provo, UT 846065056

Phone: 8014292000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.