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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770931735

Dr. Brandon Tivis, DDS is a Student in an Organized Health Care Education/Training Program in Saint Louis, Missouri. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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

3318 S 9th St
Saint Louis, MO 63118-2614
Phone: (806) 789-5272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1770931735
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 1, 2016
Last updated in NPPESJune 1, 2016

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