Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest Dental Inc

Organization Dental Clinic/Center · NPI 1194964015

Northwest Dental Inc is a Dental Clinic/Center in Glyndon, Maryland. Licensed in Maryland. Registered with an NPI since 2009.

Licensed in
MD
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4821 Butler Rd Ste 2B
Glyndon, MD 21071
Phone: (410) 486-5580
Fax: (410) 484-6365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 7474 (MD)

Record details

NPI number1194964015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Surosky — Dentist · (410) 486-5580
NPI enumeratedFebruary 17, 2009
Last updated in NPPESFebruary 17, 2009
Mailing address4821 Butler Road, Suite 2b, Glyndon, MD 21071