Dr. Srismitha Modem, DMD
Dentist, General Practice in Revere, Massachusetts
1295892297- Practice location
- 339 Squire RD, Suite 150, Revere, MA 02151-4309
- Phone
- 781-286-7510
- Fax
- —
- Last updated
- August 20, 2013
Srismitha Modem is a Dentist, General Practice based in Revere, MA. Srismitha Modem practices in Revere, MA and has the professional credentials of DMD. The NPI Number for Srismitha Modem is 1295892297 and holds a License No. 21334 (MA). The current practice location address for Srismitha Modem is 339 Squire RD, Suite 150, Revere, MA 02151-4309 and can be reached out via phone at 781-286-7510.
Provider Profile Details
- NPI Number
- 1295892297
- Provider Name
- Srismitha Modem
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 339 Squire RD, Suite 150, Revere, MA 02151-4309
- Phone Number
- 781-286-7510
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 2, 2007
- Last Update Date
- August 20, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 339 Squire RD
Suite 150
Revere, MA 02151-4309 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-4309
- Phone Number
- 781-286-7510
Provider Business Mailing Address Details
- Address
- 339 Squire RD
Suite 150 Dr Dental Of Revere
Revere, MA 02151 - City
- Revere
- State
- MA
- Zip
- 02151
- Phone Number
- 781-286-7510
License Information
- License Number
- 21334
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Srismitha Modem, DMD?
The NPI number of Dr. Srismitha Modem, DMD is 1295892297. It was assigned on January 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Srismitha Modem, DMD?
Dr. Srismitha Modem, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21334.
Where does Dr. Srismitha Modem, DMD practice?
The practice location is 339 Squire RD, Suite 150, Revere, MA 02151-4309. The office can be reached at 781-286-7510 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295892297 directly on the NPPES registry website.