| Northwood Dental Llc | |
|
3023 Eastland Blvd Bldg H, Suite 112 Clearwater FL 33761-4106 | |
| (727) 797-5161 | |
| (727) 797-5121 |
| Full Name | Northwood Dental Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 3023 Eastland Blvd, Clearwater, Florida |
| Authorized Official Name and Position | Brett Miller (FINANCIAL MANAGER) |
| Authorized Official Contact | 7277975161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwood Dental Llc 3023 Eastland Blvd Bldg H, Suite 112 Clearwater FL 33761-4106 Ph: (727) 797-5161 | Northwood Dental Llc 3023 Eastland Blvd Bldg H, Suite 112 Clearwater FL 33761-4106 Ph: (727) 797-5161 |
| NPI Number | 1073735478 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073735478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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