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

Individual provider Dentist · NPI 1831473305

Jae Brimhall, DMD, MS is a Dentist in San Angelo, Texas. Practices as a sole proprietor. Licensed in Colorado, Kentucky and Texas.

Licensed in
CO, KY, TX
In the registry since
2011
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3123 Green Meadow Dr
San Angelo, TX 76904-6977
Phone: (325) 208-4654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 34865 (TX)
Dentist Taxonomy 122300000X · Licence 9033 (KY)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence DEN00202177 (CO)

Record details

NPI number1831473305
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MS
Sole proprietorYes
NPI enumeratedOctober 3, 2011
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address409 Avalon Ln, Coppell, TX 75019-7579

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