Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Susan Agnes Davidson, DDS

Individual provider Dentist · NPI 1104544782

Dr. Susan Agnes Davidson, DDS is a Dentist in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

410 W Bloomingdale Ave Fl 33511
Brandon, FL 33511-7402
Phone: (813) 654-0037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN27197 (FL)

Record details

NPI number1104544782
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address11239 Fish Eagle Dr, Riverview, FL 33569-5742

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