OrganizationActive
Northwest Dental Inc
NPI 1194964015 · Dental Clinic/Center · Glyndon, MD
Northwest Dental Inc is a Dental Clinic/Center organization in Glyndon, MD (NPI 1194964015).
Provider details
- NPI number
- 1194964015
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Phillip Surosky, Dentist(410) 486-5580
- License
- 7474 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4821 Butler Road
Suite 2b
Glyndon, MD 21071
Phone: (410) 486-5580
Fax: (410) 484-6365
Street-level locationGet directions
Mailing address
4821 Butler Road
Glyndon, MD 21071
Registry dates
- Enumerated
- 2009-02-17
- Last updated
- 2009-02-17
Frequently asked questions
- What is Northwest Dental Inc's NPI number?
- Northwest Dental Inc's National Provider Identifier (NPI) is 1194964015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Dental Inc?
- Northwest Dental Inc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northwest Dental Inc located?
- Northwest Dental Inc's practice location on file with NPPES is 4821 Butler Road, Glyndon, MD 21071.
- What is Northwest Dental Inc's phone number?
- The practice phone number listed in the NPPES registry for Northwest Dental Inc is (410) 486-5580.
- Who is the authorized official for Northwest Dental Inc?
- The authorized official listed on Northwest Dental Inc's NPPES record is Phillip Surosky, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Dental Inc's NPI active?
- Yes — Northwest Dental Inc's NPI (1194964015) is active in the NPPES registry as of the last update on 2009-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.