Dwayne Bacchus is a Dentist in Brandon, Florida. Dwayne Bacchus practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dwayne Bacchus is 1891828471. The last update date is 2022-04-13.
Dwayne Bacchus's current location address is 2468 W Brandon Blvd, Brandon, Florida. You can contact this provider via phone number 8132578318. The mailing address for Dwayne Bacchus is 2468 W Brandon Blvd, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwayne Bacchus |
|---|---|
| Address | 2468 W Brandon Blvd, Brandon, Florida |
| Phone Number | 8132578318 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1891828471 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2022-04-13 |
Provider Mailing Address Detail
| Address | 2468 W Brandon Blvd |
|---|---|
| City | Brandon |
| State | Florida (FL) |
| Post Code | 335114717 |
| Phone Number | 8132578318 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN19547 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Dwayne Bacchus by the Centers for Medicare & Medicaid Services?
The Dwayne Bacchus has been issued the NPI (National Provider Identifier) 1891828471, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dwayne Bacchus's facilities are situated?
The facilities of Dwayne Bacchus are physically located at the following address: 2468 W Brandon Blvd, Brandon, FL, 335114717.
What is Dwayne Bacchus's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dwayne Bacchus is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891828471 to Dwayne Bacchus?
The Centers for Medicare & Medicaid Services originally issued the 1891828471 to Dwayne Bacchus on 2007-03-13.
When was the information related to Dwayne Bacchus most recently updated or refreshed?
The details pertaining to the Dwayne Bacchus, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-04-13.
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