TDN Ortho Lakewood Ranch PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

TDN ORTHO LAKEWOOD RANCH PLLC

Practice address

6286 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425

Phone

(941) 907-8898

Fax

(941) 907-2244

NPI assigned

Jul 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert L Demint

Title

Credentialing Coordinator

Phone

(813) 692-2224

Specialties & licenses 1

Addresses

Other names 1

• Varone Orthodontics of Lakewood Ranch Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1104504877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N DALE MABRY HWY STE 605",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-692-2224",
            "fax_number": "813-692-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6286 LAKE OSPREY DR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408425",
            "telephone_number": "941-907-8898",
            "fax_number": "941-907-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDN ORTHO LAKEWOOD RANCH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "DEMINT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "813-692-2224"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Varone Orthodontics of Lakewood Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Taylor
• Lisa Jean Taylor, PT
• TDN Dentistry PLLC
• TDN Dentistry, PLLC
• TDN Dentistry, PLLC
• Gabrielle Tedesco
• Amy Sue Thatcher, LCSW
• The Center for Urgent Care, LLC
• The Center for Urgent Care, LLC
• The Center for Urgent Care, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.