Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205572245 Individual Practitioner Male Practitioner

Dr. Jake Douglas Brush , DDS

Dentist • Scott Afb, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jake Brush, DDS is a registered healthcare professional specializing in Dentist in Scott Afb, IL. Practice services are available at 310 W LOSEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 W Losey St

Scott Afb, IL 622255250

Telephone 6182562833
Associated Practice Facility / Clinic
🏢 375th Medgrp-Scott Facility NPI 1851373161

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Scott Afb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
11 Specialists

Practicing in Scott Afb, IL (4751 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: 2023-08-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 1205572245

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

6 Associated Practitioners
NPI 1144854233

Doctor of Dental Medicine

NPI 1336488246

Doctor of Dental Medicine

Dr. Kristi Kennedy , DDS, MPH

Dentist - Periodontics

NPI 1376942573

Doctor of Dental Surgery, Master of Public Health

Dr. Sheila Krewet , DDS

Dentist - General Practice

NPI 1508487711

Doctor of Dental Surgery

Dr. John Brewster , DDS

Dentist - General Practice

NPI 1598724338

Doctor of Dental Surgery

Dr. Thao Nguyen , DMD

Dentist - General Practice

NPI 1962097543

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 09, 2023

Registered at 310 W LOSEY ST, SCOTT AFB, IL 622255250 (Tel: 6182562833)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2023

Dentist (License #1205572245 in IN)

NPI Profile Active May 11, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2022

Registered at 301 FISHER ST, BILOXI, MS 395342508 (Tel: 5135325923)

📍
Updated Business Mailing Address May 11, 2022

Registered at 1695 LIEBCHEN CT, LAWRENCEBURG, IN 470259067 (Tel: 5135325923)

👤
Provider Name / Credentials Updated May 11, 2022

Recorded as JAKE BRUSH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 11, 2022

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: 1205572245
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2022
Last Update: August 09, 2023
Sole Proprietor: Yes

Mailing Address

1695 Liebchen Ct

Lawrenceburg, IN 470259067

Phone: 5135325923

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.