Dwayne Bacchus, DDS

Dentist · Brandon, FL

Individual Active NPI

NPI number 1891828471

Practice location

2468 W Brandon Blvd
Brandon, FL 33511-4717
Phone
(813) 257-8318

Open in Google Maps

NPI record

NPI
1891828471
Entity type
Individual (Type 1)
Enumeration date
March 13, 2007
Last updated
April 13, 2022
Certified
April 13, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN19547 FL

About Dr. Bacchus

Dwayne Bacchus, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2468 W Brandon Blvd, Brandon, FL 33511-4717. The NPI number 1891828471 was assigned on March 13, 2007 and the record was last updated on April 13, 2022.

Dr. Bacchus lists a license in the registry: #DN19547 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dwayne Bacchus, DDS?

The NPI number is 1891828471.

What is the phone number of Dr. Bacchus?

The phone number listed for the practice location is (813) 257-8318.

Where is Dr. Bacchus located?

2468 W Brandon Blvd, Brandon, FL 33511-4717.

What is the taxonomy code for Dr. Bacchus?

The primary taxonomy code is 122300000X – Dentist.

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.

Other Dentist providers in Brandon

All Dentist providers in Brandon, FL →