Tdn Dentistry PLLC
Dentist, Periodontics in Bradenton, FL. Organization (NPI-2).
NPI number1225754062
StatusActive
Last updated in NPPESAug 29, 2025
Details
- NPI
- 1225754062
- Entity type
- Organization (NPI-2)
- Legal business name
- Tdn Dentistry PLLC
- Organization subpart
- Yes
- Enumeration date
- Oct 13, 2022
- Certification date
- Aug 29, 2025
- Last updated
- Aug 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | – | – | Yes |
| 1223P0700X | Dentist, Prosthodontics | – | – |
Other names
- Eastman Craighead Perio & Implants Nwb (Doing Business As)
Practice location
1906 59th St W Ste GBradenton, FL 34209-4639
Phone 941-792-3899 · Fax 941-792-3779
Mailing address
4890 W Kennedy Blvd Ste 920Tampa, FL 33609-1850
Phone 813-692-2200
Authorized official
Timothy Muscaro
Owner
8136922200
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Other Periodontics providers in Bradenton, FL
- Tyler BlackenburgNPI 1164658977
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- Thomas G Rubino, DDS MSNPI 1790812089
All 6 Periodontics providers in Bradenton · All 5,544 providers in Bradenton
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