Active NPI 1275223414 Individual Practitioner Male Practitioner

Taylor Brubaker

Dentist - General Practice • Freeport, IL

Professional Overview & Biography Verified Profile Summary

Taylor Brubaker is a registered healthcare professional specializing in Dentist - General Practice in Freeport, IL. Practice services are available at 1717 W CHURCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1717 W Church St

Freeport, IL 610324695

Telephone 8152339777

Associated Practice Facility / Clinic

🏢 Kenneth S Stone Dpm Facility NPI 1447313929

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Freeport, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

18 Specialists

Practicing in Freeport, IL (5581 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: 2025-08-30

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019036364

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

1 Associated Practitioners

Dr. Dale Johnson , DDS

Dentist

NPI 1750474706

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location August 30, 2025

Registered at 1717 W CHURCH ST, FREEPORT, IL 610324695 (Tel: 8152339777)

📍

Updated Business Mailing Address August 30, 2025

Registered at 17-148 EDGEWATER DR, LANARK, IL 610469366 (Tel: 8154942351)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2025

Dentist (License #019036364 in IL)

✅

NPI Profile Active May 10, 2023

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2023

Registered at 1500 PARK AVE, SAINT LOUIS, MO 631043024 (Tel: 3148332700)

📍

Updated Business Mailing Address May 10, 2023

Registered at 152 S HILLSIDE CT, OREGON, IL 610619794

👤

Provider Name / Credentials Updated May 10, 2023

Recorded as TAYLOR BRUBAKER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2023

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 10, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1275223414

Entity Type:

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

Enumeration Date: May 10, 2023

Last Update: August 30, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

17-148 Edgewater Dr

Lanark, IL 610469366

Phone: 8154942351

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.