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DR. SUSAN AGNES DAVIDSON DDS
NPI 1104544782
Dentist in Brandon, FL

Active since August 18, 2022
410 W BLOOMINGDALE AVE FL 33511, BRANDON, FL 33511(813) 654-0037 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2025, Aug 18, 2022 (2 updates tracked since 2022).

About Dr. Susan Agnes Davidson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN AGNES DAVIDSON DDS (NPI 1104544782) is an individual dentist in Brandon, Florida, licensed in Florida (DN27197) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1104544782
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SUSAN AGNES DAVIDSONCredential: DDS
Location Address410 W BLOOMINGDALE AVE FL 33511Brandon, FL 33511-7402
Mailing Address11239 Fish Eagle DrRiverview, FL 33569-5742 · (813) 494-0091
Phone(813) 654-0037
Sole ProprietorNo
Enumeration DateAugust 18, 2022
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1104544782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN27197
Definition
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.
410 W BLOOMINGDALE AVE FL 33511, Brandon, FL 33511
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Davidson's NPI number?

The NPI number for Susan Davidson is 1104544782. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Susan Davidson located?

Susan Davidson practices at 410 W Bloomingdale Ave Fl 33511, Brandon, FL 33511. The listed phone number is (813) 654-0037.

What is Susan Davidson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Susan Davidson accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Susan Davidson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Davidson was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.