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Dr. Srismitha Modem, DMD
General Practice Dentistry in Revere, Massachusetts
NPI 1295892297

Srismitha Modem is a General Practice Dentistry based in Revere, MA and is specialized in General Practice. 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 (Massachusetts).

The current practice location address for Srismitha Modem is 339 Squire Rd, Revere, MA and can be reached out via phone at 781-286-7510.

Location: 339 Squire Rd, Revere, MA, 02151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295892297
Provider Name
Srismitha Modem
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
339 Squire Rd, Revere, MA, 02151
Phone Number
781-286-7510
Fax Number
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
339 Squire Rd
City
Revere
State
Massachusetts
Zip
02151-4309
Phone Number
781-286-7510
Fax Number
person
Provider Business Mailing Address Details
Address
339 Squire Rd
City
Revere
State
Massachusetts
Zip
02151-4309
Phone Number
781-286-7510
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
21334 (Massachusetts)
Definition
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.
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