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TANNER BROWN DMD LLC
NPI 1649049248
Clinic/Center - Dental in Saint Peters, MO

Active since December 22, 2023
6065 MID RIVERS MALL DR, SAINT PETERS, MO 63304(636) 928-4090 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanner Brown Dmd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER BROWN DMD LLC (NPI 1649049248) is a healthcare organization registered as a dental in Saint Peters, Missouri and active in the NPI registry since December 2023. The organization maintains a secondary practice location in Saint Peters and lists Tanner Michael Brown, Dentist, as its authorized official.

NPPES Registry Identity

NPI1649049248
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTANNER BROWN DMD LLC
Location Address6065 MID RIVERS MALL DRSaint Peters, MO 63304-1108
Mailing Address6065 Mid Rivers Mall DrSaint Peters, MO 63304-1108 · (618) 791-7666
Phone(636) 928-4090
Organization SubpartNo
Authorized OfficialTanner Michael BrownDentist · (618) 791-7666
Enumeration DateDecember 22, 2023
NPPES CertifiedApril 9, 2021
✔ NPI 1649049248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
6065 MID RIVERS MALL DR, Saint Peters, MO 63304
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Secondary Practice Location 1

Location 1475 Miralago Shore DrSaint Peters, MO 63376-3189 · Phone (636) 928-4090

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL P GENOVESE DDS
Dentist
6065 MID RIVERS MALL DR
COTTLEVILLE, MO 63304
St. Charles County (636) 928-4090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Brown Dmd LLC's NPI number?

The NPI number for Tanner Brown Dmd LLC is 1649049248. It was assigned to this organization in the NPPES registry on December 22, 2023.

Where is Tanner Brown Dmd LLC located?

Tanner Brown Dmd LLC is located at 6065 Mid Rivers Mall Dr, Saint Peters, MO 63304. The listed phone number is (636) 928-4090.

What is Tanner Brown Dmd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Tanner Brown Dmd LLC was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.