Organization
TDN DENTISTRY, PLLC
Active
Parent organization
TDN DENTISTRY, PLLC
Other names
Contemporary Periodontics & Implant Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
TDN DENTISTRY, PLLC
Authorized official
ROBERT L DEMINT (CREDENTIALING COORDINATOR)
(813) 692-2224
Entity
Organization
Contact information
Practice address
8487 4TH ST N, ST PETERSBURG, FL 33702-3609
(727) 579-8487
(727) 578-8500
Mailing address
1 N DALE MABRY HWY STE 605, TAMPA, FL 33609-2781
(813) 692-2205
(813) 692-2205
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
05/26/2023
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