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General NPI Number Information
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NPI Number | 1861163032
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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 | 09/27/2021
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 7208 BENEVA RD
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City | SARASOTA
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State | FL
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Zip | 34238-2806
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Country | US
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Telephone | 941-923-3802
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Fax |
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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 |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | 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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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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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Taxonomy #3
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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 #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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