Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE DOUGLAS BRUSH, DDS
Active Sole ProprietorJAKE DOUGLAS BRUSH, DDS is a Dentist healthcare provider located in SCOTT AFB, Illinois. NPI 1205572245 is currently active in the NPPES registry. Verify at CMS.
Dentist · SCOTT AFB, IL
Registration Details
- NPI Number
- 1205572245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2022 (4.2604074405684 yrs)
- Last Updated
- Aug 9, 2023
- License
-
1205572245 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 W LOSEY STSCOTT AFB, IL, 622255250Browse IL providers · Browse ZIP 62225
- Phone
- 6182562833
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SCOTT AFB, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ARNE F. GRUSPE | D.D.S. | 1447261904 |
| DR. TODD RICHARD BROYLES | D.D.S. | 1205032356 |
| JILL ANNE KINSELLA | DMD | 1558560623 |
| DR. CHRISTOPHER SCHMIDT | D.D.S. | 1063604643 |
| DR. ANDREW MICHAEL LARSON | D.M.D. | 1356533905 |
| DR. SEAN THOMAS MCCAULEY | D.M.D. | 1972735918 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.