Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891828471 Individual Practitioner Male Practitioner

Dr. Dwayne Bacchus , DDS

Dentist • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Dr. Dwayne Bacchus, DDS is a registered healthcare professional specializing in Dentist in Brandon, FL. Practice services are available at 2468 W BRANDON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2468 W Brandon Blvd

Brandon, FL 335114717

Telephone 8132578318

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: 2022-04-13
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN19547

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
Dr. Matthew Nieber , DDS

Dentist - General Practice

NPI 1063593291

Doctor of Dental Surgery

NPI 1124877139

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 13, 2022

Registered at 2468 W BRANDON BLVD, BRANDON, FL 335114717 (Tel: 8132578318)

📍
Updated Business Mailing Address April 13, 2022

Registered at 2468 W BRANDON BLVD, BRANDON, FL 335114717 (Tel: 8132578318)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2022

Dentist (License #DN19547 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3607 N VERMILION ST, SUITE 4, DANVILLE, IL 618321116 (Tel: 2174420056)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3607 N VERMILION ST, SUITE 4, DANVILLE, IL 618321116 (Tel: 2174420056)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DWAYNE BACCHUS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration March 13, 2007

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: 1891828471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2007
Last Update: April 13, 2022
Sole Proprietor: No

Mailing Address

2468 W Brandon Blvd

Brandon, FL 335114717

Phone: 8132578318

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.