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

Dr. Brandon J Crivello, DMD

Individual provider Dentist · NPI 1982054979

Dr. Brandon J Crivello, DMD is a Dentist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone: (314) 652-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2016020952 (MO)

Record details

NPI number1982054979
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 21, 2016
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address915 N Grand Blvd, Saint Louis, MO 63106-1621

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