DR. BRADFORD WAYNE TINER (D.M.D.) – General Practice Dentistry, NPI 1720074479
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. BRADFORD WAYNE TINER (D.M.D.)
6141, Mid Rivers Mall Drive, Saint Peters, Saint Charles County, Missouri, 63304, United States
SAINT PETERS, MO 633041105
Phone: (636) 441-4600
Type: Mailing
3013 E RENNER RD. STE 100
RICHARDSON, TX 75082
Phone: (972) 231-3013
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $9.
Total Amount is formed as General ($9) + Research ($0) + Ownership ($0) = $9.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Ultradent Products Inc ($9).
Total Amount
$9
General + Research + Ownership
Payments
1
Total payment records
General Amount
$9
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ultradent Products Inc | $9 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-07-20
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63304)
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Reviews
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