| Tldm, LLC | |
|
3003 Enterprise Rd E Clearwater FL 33759-1304 | |
| (727) 799-4492 | |
| Not Available |
| Full Name | Tldm, LLC |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3003 Enterprise Rd E, Clearwater, Florida |
| Authorized Official Name and Position | Alison Thiede (PRACTICE MANAGER) |
| Authorized Official Contact | 7277091188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tldm, LLC 2711 Tampa Rd Palm Harbor FL 34684-3312 Ph: (727) 709-1188 | Tldm, LLC 3003 Enterprise Rd E Clearwater FL 33759-1304 Ph: (727) 799-4492 |
| NPI Number | 1306418652 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306418652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Primary |
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