Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982054979 Individual Practitioner Male Practitioner

Dr. Brandon J Crivello , DMD

Dentist • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Dr. Brandon Crivello, DMD is a registered healthcare professional specializing in Dentist in Saint Louis, MO. Practice services are available at 915 N GRAND BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

915 N Grand Blvd

Saint Louis, MO 631061621

Telephone 3146524100
Associated Practice Facility / Clinic
🏢 Vamc St. Louis Mo Facility NPI 1033180526

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
230 Specialists

Practicing in Saint Louis, MO (1740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-04
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MO 2016020952

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Karen Johnston , PhD

Psychologist - Clinical

NPI 1003044215

Doctor of Philosophy (Ph.D.)

NPI 1003080920

Doctor of Optometry

Susan Gilmor , LCSW

Social Worker

NPI 1003128448

Licensed Clinical Social Worker

Dr. Conor Mccartney , MD

Internal Medicine

NPI 1003158221

Doctor of Medicine (M.D.)

Shelby Pascoe , LCSW

Social Worker - Clinical

NPI 1003216581

Licensed Clinical Social Worker

Taylor Melgar , PA-C

Physician Assistant

NPI 1003425414

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 04, 2024

Registered at 915 N GRAND BLVD, SAINT LOUIS, MO 631061621 (Tel: 3146524100)

📍
Updated Business Mailing Address September 04, 2024

Registered at 915 N GRAND BLVD, SAINT LOUIS, MO 631061621

NPI Profile Active June 21, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2016

Registered at 615 S NEW BALLAS RD, DENTAL, SAINT LOUIS, MO 631418221 (Tel: 3142515775)

📍
Updated Business Mailing Address June 21, 2016

Registered at 4567 W PINE BLVD, APT 230, SAINT LOUIS, MO 631082168 (Tel: 6189770592)

👤
Provider Name / Credentials Updated June 21, 2016

Recorded as BRANDON CRIVELLO, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2016

Dentist (License #2016020952 in MO)

🟢
Initial NPI Registration & Enumeration June 21, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982054979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2016
Last Update: September 04, 2024
Sole Proprietor: Yes

Mailing Address

915 N Grand Blvd

Saint Louis, MO 631061621

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.