MEDICARE: TDN DENTISTRY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics

General Provider Information

NPI Number	:	1316892789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TDN DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	7301A W PALMETTO PARK RD STE 303A
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3466
Country	:	US
Telephone Number	:	561-394-4519
Fax Number	:

Provider Business Practice Location Address
First Line	:	7301A W PALMETTO PARK RD STE 303A
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3466
Country	:	US
Telephone Number	:	561-394-4519
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TIMOTHY MUSCARO
Credential	:	DDS
Telephone Number	:	813-692-2200

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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