Phillip Surosky, D.D.S

NPI 1851422893 · on the registry since 2007 · sole proprietor

Practice

Address: 4821 Butler Road
2b
Glyndon, MD 21071
Phone: (410) 833-6200
Fax: (410) 833-6365
Organisation at this address: Northwest Dental Inc
Mark J Nesbitt Dds Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland