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General NPI Number Information
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NPI Number | 1932064805
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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 | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 5117 J TURNER BUTLER BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6080
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Country | US
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Telephone | 904-637-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 5117 J TURNER BUTLER BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6080
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Country | US
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Telephone | 904-637-8070
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Fax |
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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 | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number |
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License Number State |
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