NPIMap

Organization Active NPI

TDN Dentistry, PLLC

Doing business as Suncoast Oral Surgery and Periodontics

  • Oral and Maxillofacial Surgery (Dentist)
  • Venice, FL
National Provider Identifier
1124749874
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
TDN DENTISTRY, PLLC
Doing business as
Suncoast Oral Surgery and Periodontics
Practice address
200 Tamiami TRL N Ste F
Venice, FL 34285-1914
Phone
(941) 927-4308
NPI assigned
Sep 9, 2022
Last updated
Aug 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TDN DENTISTRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Timothy Muscaro, DDS
Title
Owner
Phone
(813) 692-2200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NU
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

200 Tamiami TRL N Ste F
Venice, FL 34285-1914

Mailing address

4890 W Kennedy Blvd Ste 920
Tampa, FL 33609-1850
Phone (813) 692-2200

Other names 1

  • Suncoast Oral Surgery and Periodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TDN Dentistry PLLC48 organizations share this tax ID, including this one
Part of
TDN Dentistry PLLC

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1124749874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 W KENNEDY BLVD STE 920",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091850",
            "telephone_number": "813-692-2200",
            "fax_number": "813-692-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TAMIAMI TRL N STE F",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342851914",
            "telephone_number": "941-927-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDN DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TDN DENTISTRY, PLLC",
        "enumeration_date": "2022-09-09",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "MUSCARO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-692-2200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncoast Oral Surgery and Periodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suncoast Oral Surgery and Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.