NPIMap

Organization Active NPI

TDN Dentistry, PLLC

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1497562979
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TDN DENTISTRY, PLLC
Practice address
4890 W Kennedy Blvd Ste 9204890W
Tampa, FL 33609-1851
Phone
(813) 692-2200
NPI assigned
Dec 17, 2024
Organization subpart
Yes
Parent organization
TDN DENTISTRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4890 W Kennedy Blvd Ste 9204890W
Tampa, FL 33609-1851

Mailing address

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

Other names 1

  • Advanced Endo Lakemont 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

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

201 N Lakemont Ave
Ste 2400
Winter Park, FL 32792
Phone (407) 647-4773

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": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1497562979",
    "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": "4890 W KENNEDY BLVD STE 9204890W",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091851",
            "telephone_number": "813-692-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDN DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TDN DENTISTRY, PLLC",
        "enumeration_date": "2024-12-17",
        "last_updated": "2025-09-02",
        "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": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Endo Lakemont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.