DR. Brandon Tivis, D.D.S. is a student in an organized health care education training program in Saint Louis, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Brandon Tivis, D.D.S. NPI is 1770931735. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3318 S 9TH ST
SAINT LOUIS, MO
ZIP 63118-614
Phone: (806) 789-5272
The enumeration date for this NPI number is 6/1/2016 and was last updated on 6/1/2016.