Organization Active NPI

Northwood Dental LLC

  • Prosthodontics
  • Clearwater, FL
National Provider Identifier
1073735478
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
NORTHWOOD DENTAL LLC
Practice address
3023 Eastland Blvd
BLDG H, Suite 112
Clearwater, FL 33761-4106
Phone
(727) 797-5161
Fax
(727) 797-5121
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brett Miller
Title
Financial Manager
Phone
(727) 797-5161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

3023 Eastland Blvd
BLDG H, Suite 112
Clearwater, FL 33761-4106

Mailing address

3023 Eastland Blvd
BLDG H, Suite 112
Clearwater, FL 33761-4106
Phone (727) 797-5161

National Provider Directory

National Provider Directory

Locations

3023 Eastland Blvd
Ste 112
Clearwater, FL 33761
Phone (727) 725-5121

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073735478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 EASTLAND BLVD",
            "address_2": "BLDG H, SUITE 112",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614106",
            "telephone_number": "727-797-5161",
            "fax_number": "727-797-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 EASTLAND BLVD",
            "address_2": "BLDG H, SUITE 112",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614106",
            "telephone_number": "727-797-5161",
            "fax_number": "727-797-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "727-797-5161"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.