Individual provider · Type 1 NPI

Brian Lewis Jaques, DMD

General Practice Dentistry · Seminole, FL

NPI number 1023458379 Active

Practice location

9200 113th St
Seminole, FL 33772-2800

Mailing address

PO Box 1317
Moncks Corner, SC 29461-1317

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X8370 (SC)

General Practice Dentistry: 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.

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About NPI 1023458379

Brian Lewis Jaques, DMD's National Provider Identifier is 1023458379, issued on Jul 1, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Seminole, FL. The record was last updated on May 10, 2016.