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General NPI Number Information
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NPI Number | 1548986441
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Entity Type | Organization
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Legal Business Name | TDN DENTISTRY PLLC
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 6310 HEALTH PARK WAY STE 240
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5177
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Country | US
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Telephone | 941-351-3000
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Fax | 941-351-2767
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Provider Business Mailing Address
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Address Line | 4890 W KENNEDY BLVD STE 920
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City | TAMPA
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State | FL
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Zip | 33609-1850
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Country | US
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Telephone | 813-692-2200
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Fax | 813-692-2205
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY MUSCARO
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Credential | DDS
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Telephone | 813-692-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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