Active NPI 1023458379 Individual Practitioner Male Practitioner

Dr. Brian Lewis Jaques , DMD

Dentist - General Practice • Seminole, FL

Professional Overview & Biography Verified Profile Summary

Dr. Brian Jaques, DMD is a registered healthcare professional specializing in Dentist - General Practice in Seminole, FL. Practice services are available at 9200 113TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9200 113th St

Seminole, FL 337722800

Telephone 7273946905

Associated Practice Facility / Clinic

🏢 Faculty Associates, Inc Facility NPI 1255379004

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Seminole, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.0 Yrs

Regional Practice Density

37 Specialists

Practicing in Seminole, FL (7473 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License SC 8370

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Omar Elrabi

Student in an Organized Health Care Education/Training Program

NPI 1003769118

Dr. Kenton Brandimore , DMD

Dentist

NPI 1023566841

Doctor of Dental Medicine

Dr. Mckenzi Taylor , DDS

Dentist - General Practice

NPI 1083232110

Doctor of Dental Surgery

Dr. Andrew Schaedler , DMD

Dentist

NPI 1124861752

Doctor of Dental Medicine

Dr. David Bunn , DDS

Dentist

NPI 1134551922

Doctor of Dental Surgery

Sydney Ellen

Dentist

NPI 1164107645

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 10, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2016

Registered at 9200 113TH ST, SEMINOLE, FL 337722800 (Tel: 7273946905)

📍

Updated Business Mailing Address May 10, 2016

Registered at PO BOX 1317, MONCKS CORNER, SC 294611317 (Tel: 8438995911)

👤

Provider Name / Credentials Updated May 10, 2016

Recorded as BRIAN JAQUES, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2016

Dentist (License #8370 in SC)

🟢

Initial NPI Registration & Enumeration July 01, 2013

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: 1023458379

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 01, 2013

Last Update: May 10, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1317

Moncks Corner, SC 294611317

Phone: 8438995911

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.