Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720577505 Individual Practitioner Male Practitioner

Sam Ayad Issa , BDS, HDD

Dentist • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Sam Issa, BDS, HDD is a registered healthcare professional specializing in Dentist in Brandon, FL. Practice services are available at 410 W BLOOMINGDALE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

410 W Bloomingdale Ave

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: 2022-10-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN25441

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License WA 61029044

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1104544782

Doctor of Dental Surgery

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

11 Historical Events
📍
Updated Practice Location October 11, 2022

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

📍
Updated Business Mailing Address October 11, 2022

Registered at 29809 SOUTHWELL LN, WESLEY CHAPEL, FL 335434138 (Tel: 9712050887)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2022

Dentist (License #61029044 in WA)

📍
Updated Business Mailing Address September 28, 2020

Registered at 740 OCEAN BEACH HWY STE F, LONGVIEW, WA 986324061 (Tel: 3604141400)

👤
Provider Name / Credentials Updated September 28, 2020

Recorded as SAM ISSA, BDS, HDD

NPI Profile Active May 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2018

Registered at 516 STRAND ST, FREDERIKSTED, VI 008403533 (Tel: 3407720260)

📍
Updated Business Mailing Address May 07, 2018

Registered at 27916 WHALES ST APT 108, WESLEY CHAPEL, FL 335448820 (Tel: 9712050887)

👤
Provider Name / Credentials Updated May 07, 2018

Recorded as OSAMAH ALRIFAIE, BDS, HDD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 07, 2018

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: 1720577505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2018
Last Update: October 11, 2022
Sole Proprietor: No

Mailing Address

29809 Southwell Ln

Wesley Chapel, FL 335434138

Phone: 9712050887

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.