Provider Demographics
NPI:1992512461
Name:TDN DENTISTRY, PLLC
Entity type:Organization
Organization Name:TDN DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSCARO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:813-692-2200
Mailing Address - Street 1:1 N DALE MABRY HWY
Mailing Address - Street 2:STE 605
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2781
Mailing Address - Country:US
Mailing Address - Phone:813-692-2200
Mailing Address - Fax:
Practice Address - Street 1:3821 WOODBRIAR TRL STE 104
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-9615
Practice Address - Country:US
Practice Address - Phone:352-404-5550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TDN DENTISTRY, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty