NPIMap

Organization Active NPI

TDN Dentistry, PLLC

Doing business as Wauchula Dental

  • General Practice Dentistry
  • Wauchula, FL
National Provider Identifier
1790400406
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TDN DENTISTRY, PLLC
Doing business as
Wauchula Dental
Practice address
322 S 6TH Ave
Wauchula, FL 33873-3207
Phone
(863) 773-9344
Fax
(863) 773-9350
NPI assigned
Oct 5, 2022
Last updated
Aug 29, 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 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
General Practice Dentistry 1223G0001X Primary
Periodontics 1223P0300X

Addresses

Primary practice location

322 S 6TH Ave
Wauchula, FL 33873-3207

Mailing address

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

Other names 1

  • Wauchula Dental 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": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1790400406",
    "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": "322 S 6TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733207",
            "telephone_number": "863-773-9344",
            "fax_number": "863-773-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDN DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TDN DENTISTRY, PLLC",
        "enumeration_date": "2022-10-05",
        "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": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wauchula Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wauchula Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauchula, 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.