Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Brian Lewis Jaques, DMD

Individual provider General Practice Dentistry · NPI 1023458379

Dr. Brian Lewis Jaques, DMD is a General Practice Dentistry in Seminole, Florida. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2013
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

9200 113th St
Seminole, FL 33772-2800
Phone: (727) 394-6905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8370 (SC)

Record details

NPI number1023458379
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 1, 2013
Last updated in NPPESMay 10, 2016
Mailing addressPo Box 1317, Moncks Corner, SC 29461-1317

Other providers in Seminole