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NORTHWOOD MODERN DENTISTRY PA NPI 1760156889


NPI Information

NPI: 1760156889
Provider Name: NORTHWOOD MODERN DENTISTRY, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2544 N MCMULLEN BOOTH RD
CLEARWATER, FL
ZIP 33761
Phone: (727) 286-3588
Get Directions

NORTHWOOD MODERN DENTISTRY, PA is a general practice dentist in Clearwater, FL. The provider is 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. NORTHWOOD MODERN DENTISTRY, PA NPI is 1760156889. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2544 N MCMULLEN BOOTH RD
CLEARWATER, FL
ZIP 33761-150
Phone: (727) 286-3588
Fax: (727) 287-4727

The provider's authorized official is Katie Mccann Lee .
The authorized official title is Owner and has the following contact phone number (727) 286-3588.

The enumeration date for this NPI number is 8/3/2021 and was last updated on 8/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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