| Tdn Dentistry, Pllc | |
|
200 Tamiami Trl N Ste F Venice FL 34285-1914 | |
| (941) 927-4308 | |
| Not Available |
| Full Name | Tdn Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 200 Tamiami Trl N Ste F, Venice, Florida |
| Authorized Official Name and Position | Robert L Demint (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8136922224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdn Dentistry, Pllc 1 N Dale Mabry Hwy Ste 605 Tampa FL 33609-2781 Ph: (813) 692-2200 | Tdn Dentistry, Pllc 200 Tamiami Trl N Ste F Venice FL 34285-1914 Ph: (941) 927-4308 |
| NPI Number | 1124749874 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124749874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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