NPIMap

Organization Active NPI

TDN Dentistry, PLLC

Doing business as Contemporary Periodontics & Implant Dentistry

  • Periodontics
  • St Petersburg, FL
National Provider Identifier
1497478523
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
TDN DENTISTRY, PLLC
Doing business as
Contemporary Periodontics & Implant Dentistry
Practice address
8487 4TH St N
St Petersburg, FL 33702-3609
Phone
(727) 579-8487
Fax
(727) 578-8500
NPI assigned
Sep 23, 2022
Organization subpart
Yes
Parent organization
TDN DENTISTRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

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

Addresses

Primary practice location

8487 4TH St N
St Petersburg, FL 33702-3609

Mailing address

1 N Dale Mabry Hwy Ste 605
Tampa, FL 33609-2781
Phone (813) 692-2205

Other names 1

  • Contemporary Periodontics & Implant Dentistry 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

8487 4th St N
St Petersburg, FL 33702
Phone (727) 579-8487

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 4

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": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1497478523",
    "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": "336092781",
            "telephone_number": "813-692-2205",
            "fax_number": "813-692-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8487 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023609",
            "telephone_number": "727-579-8487",
            "fax_number": "727-578-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDN DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TDN DENTISTRY, PLLC",
        "enumeration_date": "2022-09-23",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "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": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contemporary Periodontics & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Contemporary Periodontics & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.