Active NPI
TLDM, LLC
- Periodontics
- Clearwater, FL
National Provider Identifier
1306418652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- TLDM, LLC
- Practice address
- 3003 Enterprise Rd E
Clearwater, FL 33759-1304 - Phone
- (727) 799-4492
- NPI assigned
- Jul 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alison Thiede
- Title
- Practice Manager
- Phone
- (727) 709-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | Primary |
Addresses
Primary practice location
3003 Enterprise Rd E
Clearwater, FL 33759-1304
Mailing address
2711 Tampa Rd
Palm Harbor, FL 34684-3312
Phone (727) 709-1188
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Clearwater, FL
- NPI 1508906082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626307200000",
"number": "1306418652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 TAMPA RD",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843312",
"telephone_number": "727-709-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 ENTERPRISE RD E",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337591304",
"telephone_number": "727-799-4492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLDM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-15",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A",
"authorized_official_last_name": "THIEDE",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "727-709-1188"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.