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Active NPI 1528638384 Individual Practitioner Male Practitioner

Dr. Jae Il Ru , DMD

Dentist - General Practice • Gambrills, MD

Professional Overview & Biography Verified Profile Summary

Dr. Jae Il Ru, DMD is a registered healthcare professional specializing in Dentist - General Practice in Gambrills, MD. Practice services are available at 325 GAMBRILLS RD STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

325 Gambrills Rd Ste C

Gambrills, MD 210541102

Telephone 4109230373
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gambrills, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Gambrills, MD (2555 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: 2025-06-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 18551

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License VT 016.0134023

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NH 04711

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.

Secondary Practice Locations

13 Town West Rd

Plymouth, NH 032643428

Phone: 6037284379

11 Dunning St Ste 3

Claremont, NH 037432045

Phone: 6035422351

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Tamara Leary , DDS

Dentist - General Practice

NPI 1033222062

Doctor of Dental Surgery

NPI 1306870282

Doctor of Dental Surgery

NPI 1396519179

Registered Dental Hygienist, Bachelor of Science

NPI 1730811456

Doctor of Dental Surgery

NPI 1871730309

Doctor of Dental Surgery

Dr. Kimberly Burroughs , DDS

Dentist - General Practice

NPI 1902919921

Doctor of Dental Surgery

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location June 17, 2025

Registered at 325 GAMBRILLS RD STE C, GAMBRILLS, MD 210541102 (Tel: 4109230373)

📍
Updated Business Mailing Address June 17, 2025

Registered at 325 GAMBRILLS RD STE C, GAMBRILLS, MD 210541102 (Tel: 4109230373)

📍
Updated Practice Location June 04, 2024

Registered at 13 TOWN WEST RD, PLYMOUTH, NH 032643428 (Tel: 6037284379)

📍
Updated Business Mailing Address June 04, 2024

Registered at 13 TOWN WEST RD, PLYMOUTH, NH 032643428 (Tel: 6037284379)

📍
Updated Practice Location January 23, 2024

Registered at 2626 BROWN AVE, MANCHESTER, NH 031036806 (Tel: 6036251877)

📍
Updated Business Mailing Address January 23, 2024

Registered at 2626 BROWN AVE, MANCHESTER, NH 031036806 (Tel: 6036251877)

📍
Updated Practice Location February 03, 2022

Registered at 367 ROUTE 120 BLDG D, LEBANON, NH 037661430 (Tel: 6036434362)

📍
Updated Business Mailing Address February 03, 2022

Registered at 367 ROUTE 120 BLDG D, LEBANON, NH 037661430 (Tel: 6036434362)

NPI Profile Active June 24, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2021

Registered at 1212 PUTNEY RD, BRATTLEBORO, VT 053015102 (Tel: 8022549244)

📍
Updated Business Mailing Address June 24, 2021

Registered at 1212 PUTNEY RD, BRATTLEBORO, VT 053015102 (Tel: 8022549244)

👤
Provider Name / Credentials Updated June 24, 2021

Recorded as JAE IL RU, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2021

Dentist (License #016.0134023 in VT)

🟢
Initial NPI Registration & Enumeration June 24, 2021

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: 1528638384
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2021
Last Update: June 17, 2025
Sole Proprietor: No

Mailing Address

325 Gambrills Rd Ste C

Gambrills, MD 210541102

Phone: 4109230373

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.