Tanner Brown DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TANNER BROWN DMD LLC

Practice address

475 Miralago Shore Dr
Saint Peters, MO 63376-3189

Phone

(636) 928-4090

NPI assigned

Apr 9, 2021

Organization subpart

No

Name

Dr. Tanner Michael Brown, DMDNPI 1588222632

Title

Dentist

Phone

(618) 791-7666

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanner Michael Brown, DMD

  • General Practice Dentistry
  • Saint Peters, MO
  • NPI 1588222632
  NPD Authorized official
• Beau Devereux Butzirus, DMD

  • Dentist
  • Cottleville, MO
  • NPI 1629637764
  NPD
• Michael P Genovese, DDS

  • Dentist
  • Cottleville, MO
  • NPI 1952469157
  NPD (past)

Tax ID family

Tanner Brown DMD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tanner Brown DMD LLC

  • Dental Clinic/Center
  • Saint Peters, MO
  • NPI 1649049248
  NPD tax ID

Locations

• Good Company Dental Cottleville Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2026.

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1225618796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 MIRALAGO SHORE DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763189",
            "telephone_number": "618-791-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 MIRALAGO SHORE DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763189",
            "telephone_number": "636-928-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W College St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633791124",
            "country_code": "US",
            "telephone_number": "636-528-8911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TANNER BROWN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TANNER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "618-791-7666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Company Dental Cottleville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taken by Faith LLC
• Taken by Faith LLC
• Taken by Faith LLC
• Emily May Tan, DDS
• Aaron L Tang, M.D.
• Tanner Brown DMD LLC
• Brittany Taussig, MAT, BCBA. LBA
• Taylor Rogers Counseling, LLC
• Crystal Taylor
• Madeline Taylor

• All providers in Saint Peters, MO
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.