# NORTHWOOD DENTAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073735478
- **Authorized official:** BRETT MILLER (FINANCIAL MANAGER)
- **Authorized official phone:** (727) 797-5161

## Contact information

- **Practice address:** 3023 EASTLAND BLVD, BLDG H, SUITE 112, CLEARWATER, FL 33761-4106
- **Practice address phone:** (727) 797-5161
- **Practice address fax:** (727) 797-5121
- **Mailing address:** 3023 EASTLAND BLVD, BLDG H, SUITE 112, CLEARWATER, FL 33761-4106
- **Mailing address phone:** (727) 797-5161
- **Mailing address fax:** (727) 797-5121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 09/11/2025