Taylor Brubaker

General Practice Dentistry · Freeport, IL

Individual Active NPI

NPI number 1275223414

Practice location

1717 W Church St
Freeport, IL 61032-4695
Phone
(815) 233-9777

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NPI record

NPI
1275223414
Entity type
Individual (Type 1)
Enumeration date
May 10, 2023
Last updated
August 30, 2025
Certified
August 30, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019036364 IL

Mailing address

17-148 Edgewater Dr
Lanark, IL 61046-9366
Phone
(815) 494-2351

About Taylor Brubaker

Taylor Brubaker is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1717 W Church St, Freeport, IL 61032-4695. The NPI number 1275223414 was assigned on May 10, 2023 and the record was last updated on August 30, 2025.

Taylor Brubaker lists a license in the registry: #019036364 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Taylor Brubaker?

The NPI number is 1275223414.

What is the phone number of Taylor Brubaker?

The phone number listed for the practice location is (815) 233-9777.

Where is Taylor Brubaker located?

1717 W Church St, Freeport, IL 61032-4695.

What is the taxonomy code for Taylor Brubaker?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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