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

Dr. Tanner Michael Brown, DMD

Individual provider General Practice Dentistry · NPI 1588222632

Dr. Tanner Michael Brown, DMD is a General Practice Dentistry in Saint Peters, Missouri. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

475 Miralago Shore Dr
Saint Peters, MO 63376-3189
Phone: (636) 928-4090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.032146 (IL)

Record details

NPI number1588222632
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESSeptember 11, 2025
Certification dateMay 12, 2025
Mailing address475 Miralago Shore Dr, Saint Peters, MO 63376-3189

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