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

Jake Douglas Brush, DDS

Individual provider Dentist · NPI 1205572245

Jake Douglas Brush, DDS is a Dentist in Scott AFB, Illinois. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2022
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

310 W Losey St
Scott AFB, IL 62225-5250
Phone: (618) 256-2833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1205572245 (IN)

Record details

NPI number1205572245
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 11, 2022
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address1695 Liebchen Ct, Lawrenceburg, IN 47025-9067

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