Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104544782 Individual Practitioner Female Practitioner

Dr. Susan Agnes Davidson , DDS

Dentist • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Dr. Susan Davidson, DDS is a registered healthcare professional specializing in Dentist in Brandon, FL. Practice services are available at 410 W BLOOMINGDALE AVE FL 33511 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

410 W Bloomingdale Ave Fl 33511

Brandon, FL 335117402

Telephone 8136540037
Associated Practice Facility / Clinic
🏢 Gary Selby Dds Pa Facility NPI 1053332379

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Brandon, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
48 Specialists

Practicing in Brandon, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-14
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN27197

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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1720577505
Dr. Gary Selby , DDS

Dentist - General Practice

NPI 1982625323

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 14, 2025

Registered at 410 W BLOOMINGDALE AVE FL 33511, BRANDON, FL 335117402 (Tel: 8136540037)

📍
Updated Business Mailing Address August 14, 2025

Registered at 11239 FISH EAGLE DR, RIVERVIEW, FL 335695742 (Tel: 8134940091)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2025

Dentist (License #DN27197 in FL)

NPI Profile Active August 18, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2022

Registered at 7903 SILICON HTS, COLORADO SPRINGS, CO 809399734 (Tel: 7193542900)

📍
Updated Business Mailing Address August 18, 2022

Registered at 7355 WINDING OAKS DR, COLORADO SPRINGS, CO 809192547 (Tel: 8134940091)

👤
Provider Name / Credentials Updated August 18, 2022

Recorded as SUSAN DAVIDSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2022

Dentist (License #DEN.00205289 in CO)

🟢
Initial NPI Registration & Enumeration August 18, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104544782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2022
Last Update: August 14, 2025
Sole Proprietor: No

Mailing Address

11239 Fish Eagle Dr

Riverview, FL 335695742

Phone: 8134940091

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.