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NORTHWEST DENTAL INC
NPI 1194964015
Clinic/Center - Dental in Glyndon, MD

Active since February 17, 2009
4821 BUTLER ROAD, SUITE 2B, GLYNDON, MD 21071(410) 486-5580(410) 484-6365 Get Directions Write a Review

NPPES record last updated: February 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northwest Dental Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST DENTAL INC (NPI 1194964015) is a healthcare organization registered as a dental in Glyndon, Maryland and active in the NPI registry since February 2009. The organization lists Phillip B Surosky, Dentist, as its authorized official.

NPPES Registry Identity

NPI1194964015
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNORTHWEST DENTAL INC
Location Address4821 BUTLER ROAD, SUITE 2BGlyndon, MD 21071
Mailing Address4821 Butler Road, Suite 2bGlyndon, MD 21071 · (410) 486-5580 · Fax (410) 484-6365
Phone(410) 486-5580
Fax(410) 484-6365
Organization SubpartNo
Authorized OfficialPhillip B SuroskyDentist · (410) 486-5580
Enumeration DateFebruary 17, 2009
✔ NPI 1194964015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MD · 7474
4821 BUTLER ROAD, Glyndon, MD 21071
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PHILLIP BARRY SUROSKY D.D.S.
Dentist
4821 BUTLER ROAD, 2B
GLYNDON, MD 21071
Baltimore County (410) 833-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Dental Inc's NPI number?

The NPI number for Northwest Dental Inc is 1194964015. It was assigned to this organization in the NPPES registry on February 17, 2009.

Where is Northwest Dental Inc located?

Northwest Dental Inc is located at 4821 Butler Road Suite 2B, Glyndon, MD 21071. The listed phone number is (410) 486-5580.

What is Northwest Dental Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Northwest Dental Inc was last updated on February 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.