DR. BRADFORD TINER (NPI# 1720074479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720074479 |
| Entity Type | Individual |
| Full Name | DR. BRADFORD TINER |
| Credential | DMD |
| Practice Address |
6141 Mid Rivers Mall Dr Saint Peters MO 63304-1105 |
| Practice Telephone | 6364414600 |
| Mailing Telephone | 6364414600 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2017-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE015921 | MO | Dental Providers |
| Street Address |
6141 MID RIVERS MALL DR |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63304-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902826167 | Jay Douglas Brown | Dentist | 6141 Mid Rivers Mall Dr, Saint Peters, MO 63304-1105 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382127 | Susan Brockmeyer | Occupational Therapist | 600 Breeze View Ln, Weldon Springs, MO 63304 | 2020-09-29 |
| 1235743097 | Brett Allan Lancaster | Pharmacist | 3801 Old Highway 94, St. Peters, MO 63304 | 2020-08-31 |
| 1356834683 | Emily Elizabeth Blau | Chiropractor | 5055 State Highway N, 108, Cottleville, MO 63304 | 2018-06-12 |
| 1033606769 | Christina Marie Crain | Counselor | 501 Chele Dr, Saint Charles, MO 63304 | 2018-04-18 |
| 1063875532 | Amy L Ney-carder | Speech-Language Pathologist | 5199 State Highway N, St. Peters, MO 63304 | 2016-04-01 |
| 1609127745 | Lawlor Chiropractic LLC | Chiropractor | 6028 Weldon Spring Parkway, Weldon Spring, MO 63304 | 2012-09-28 |
| 1043588510 | Esther Lima | Pharmacist | 3801 S Harvester Rd, St Peters, MO 63304 | 2011-12-12 |
| 1922318245 | Sonya Paramore | Counselor | 1480 Woodstone Drive, Suite 211, Saint Charles, MO 63304 | 2010-10-20 |
| 1871624445 | Joylynn Anderson | Social Worker | 5931 Highway 94 South, Saint Charles, MO 63304 | 2007-03-08 |
| 1821155706 | Cynthia Lynn Sitarski | Occupational Therapist | 4545 Central School Road, St. Charles, MO 63304 | 2007-01-02 |
| Find all providers in zip 63304 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778592 | Maya Grace Habibi | Dentist | 5212 N Service Rd, Saint Peters, MO 63376-3950 | 2020-07-27 |
| 1720559982 | St. Peters Cosmetic and Family Dentistry LLC | Dentist | 3601 N Saint Peters Pkwy Ste 200, Saint Peters, MO 63376-7303 | 2018-12-16 |
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1386058493 | Kirk Daniel Mcelheny | Dentist | 3601 N Saint Peters Pkwy, Suite 200, Saint Peters, MO 63376-7303 | 2014-06-17 |
| 1477870830 | Michael T. Heiland D.d.s., P.C. | Dentist | 305 Mid Rivers Mall Dr, Saint Peters, MO 63376-1516 | 2010-04-26 |
| 1184894198 | Matthew John Howard | Dentist | 3931 Mid Rivers Mall Dr, Saint Peters, MO 63376-2862 | 2008-03-05 |
| 1275753725 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1325 Queens Ct Ste B, Saint Peters, MO 63376-7375 | 2007-04-26 |
| 1740400282 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 4045 N Saint Peters Pkwy Ste 200, Saint Peters, MO 63304-7398 | 2007-04-26 |
| 1154468858 | Mark Eidelman | Dentist | 300 Mid Rivers Mall Dr, Saint Peters, MO 63376-1565 | 2007-01-31 |
| 1205989134 | Drs. Kraner and Yusman LLC | Dentist | 6223 Mid Rivers Mall Dr, Saint Peters, MO 63304-1102 | 2007-01-22 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63304 |
Please comment or provide details below to improve the information on DR. BRADFORD TINER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.