NPIMap

Organization Active NPI

TDN Dentistry PLLC

  • Periodontics
  • Bradenton, FL
National Provider Identifier
1225754062
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
TDN DENTISTRY PLLC
Practice address
1906 59TH St W Ste G
Bradenton, FL 34209-4639
Phone
(941) 792-3899
Fax
(941) 792-3779
NPI assigned
Oct 13, 2022
Organization subpart
Yes
Parent organization
TDN DENTISTRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X

Addresses

Primary practice location

1906 59TH St W Ste G
Bradenton, FL 34209-4639

Mailing address

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

Other names 1

  • Eastman Craighead Perio & Implants NWB 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

Locations

1906 59th St W
Ste G
Bradenton, FL 34209
Phone (941) 792-3899

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1225754062",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 59TH ST W STE G",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094639",
            "telephone_number": "941-792-3899",
            "fax_number": "941-792-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDN DENTISTRY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TDN DENTISTRY, PLLC",
        "enumeration_date": "2022-10-13",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastman Craighead Perio & Implants NWB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.