NORTHWOOD DENTAL LLC (NPI# 1073735478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073735478 |
| Entity Type | Organization |
| Organization Name | NORTHWOOD DENTAL LLC |
| Practice Address |
3023 Eastland Blvd Bldg H, Suite 112 Clearwater FL 33761-4106 |
| Practice Telephone | 7277975161 |
| Practice Fax Number | 7277975121 |
| Mailing Telephone | 7277975161 |
| Mailing Fax Number | 7277975121 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRETT MILLER (FINANCIAL MANAGER) |
| Authorized Official Telephone | 7277975161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| X | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers |
| Street Address |
3023 EASTLAND BLVD BLDG H, SUITE 112 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445801 | Capri Home Care, Inc | Home Health | 3023 Eastland Blvd, Ste 103, Clearwater, FL 33761-4106 | 2005-05-30 |
| 1952855470 | David A Wagner Dds | Durable Medical Equipment & Medical Supplies | 3023 Eastland Blvd, Suite 112, Clearwater, FL 33761-4106 | 2016-08-12 |
| 1447703657 | Gabrielle Goodman | Dentist | 3023 Eastland Blvd, Building H Suite #112, Clearwater, FL 33761-4106 | 2016-07-25 |
| 1306123864 | Northwood Medical Center, Pa | Acupuncturist | 3023 Eastland Blvd, H105, Clearwater, FL 33761-4106 | 2011-11-12 |
| 1689847527 | Joseph F Greco | Physician Assistant | 3023 Eastland Blvd, Suite 113, Clearwater, FL 33761-4106 | 2008-04-11 |
| 1558532333 | David Alan Wagner | Dentist | 3023 Eastland Blvd, Suite 112, Clearwater, FL 33761-4106 | 2008-03-19 |
| 1336330240 | Carol Ann Bates | Acupuncturist | 3023 Eastland Blvd, Suite 105-h, Clearwater, FL 33761-4106 | 2007-08-06 |
| 1912129487 | Jiten Jashwant Master | Dentist | 3023 Eastland Blvd, Bldg H, Suite 112, Clearwater, FL 33761-4106 | 2007-05-03 |
| 1295957785 | Jill Hagan | Dentist | 3023 Eastland Blvd, Bldg H, Suite 112, Clearwater, FL 33761-4106 | 2007-05-03 |
| 1093867012 | Michelle Scargle | Psychiatry & Neurology | 3023 Eastland Blvd, Suite 106, Clearwater, FL 33761-2829 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568023067 | Countryside Mall Dental Pa | Dentist | 27001 Us Highway 19 N Ste 1031b, Clearwater, FL 33761-3407 | 2019-06-25 |
| 1659894426 | James Ray Renner | Dentist | 13 Windward Is, Clearwater, FL 33767-2322 | 2017-07-24 |
| 1861947459 | Dental Arts Clearwater Pa | Dentist | 1201 S Highland Ave Ste 3, Clearwater, FL 33756-4359 | 2016-08-24 |
| 1093184863 | Anthony Joe Adams | Dentist | 25877 Us Highway 19 N, Clearwater, FL 33763 | 2015-09-22 |
| 1750786729 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 2555 Enterprise Rd Ste 3, Clearwater, FL 33763-1104 | 2014-11-03 |
| 1679974224 | Amish Jayendra Patel | Dentist | 1243 Lakeview Rd, Clearwater, FL 33756-3587 | 2014-09-12 |
| 1629483342 | Paul Kanach | Dentist | 29605 Us Highway 19 N Ste 310, Clearwater, FL 33761-1540 | 2014-06-23 |
| 1235481847 | David Robert Houghton | Dentist | 503 Cleveland St, Clearwater, FL 33755-4007 | 2012-10-05 |
| 1962751370 | Mark V Davis Dmd Pllc | Dentist | 14010 Roosevelt Blvd Ste 704, Clearwater, FL 33762-3820 | 2012-08-30 |
| 1528341518 | Raymond G Behm Jr. | Dentist | 127 N Garden Ave, Clearwater, FL 33755-4119 | 2011-09-26 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.