| Northwest Dental Inc | |
|
4821 Butler Road Suite 2b Glyndon MD 21071 | |
| (410) 486-5580 | |
| (410) 484-6365 |
| Full Name | Northwest Dental Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4821 Butler Road, Glyndon, Maryland |
| Authorized Official Name and Position | Phillip B Surosky (DENTIST) |
| Authorized Official Contact | 4104865580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Dental Inc 4821 Butler Road Suite 2b Glyndon MD 21071 Ph: (410) 486-5580 | Northwest Dental Inc 4821 Butler Road Suite 2b Glyndon MD 21071 Ph: (410) 486-5580 |
| NPI Number | 1194964015 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 02/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194964015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7474 (Maryland) | Primary |
Leah K Romay Dds Pa Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4817 Butler Rd, Glyndon, MD 21071 Phone: 410-833-4664 | |
Mark J Nesbitt Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4821 Butler Rd Ste 2b, Glyndon, MD 21136 Phone: 410-833-6200 |