Bacchus, Dwayne

Bacchus, Dwayne is an individual health care provider with primary practice located at 2468 W Brandon Blvd , Brandon FL 33511-4717. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bacchus, Dwayne can be contacted via phone (813) 257-8318.

Contact Information

Primary practice address
2468 W Brandon Blvd Brandon FL 33511-4717
Phone: (813) 257-8318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN19547 Florida

Profile Details

NPI number 1891828471
LBN Legal business name Bacchus, Dwayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Apr 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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