My Dental Southbridge PLLC
Clinic/Center, Dental in Southbridge, Massachusetts
1316722069- Practice location
- 305 Main St, Southbridge, MA 01550-3726
- Phone
- 508-765-0880
- Fax
- —
- Last updated
- August 30, 2023
My Dental Southbridge PLLC is a healthcare organization based in Southbridge, MA. My Dental Southbridge PLLC practices in Southbridge, MA. The NPI Number for My Dental Southbridge PLLC is 1316722069. The current practice location address for My Dental Southbridge PLLC is 305 Main St, Southbridge, MA 01550-3726 and can be reached out via phone at 508-765-0880.
Provider Profile Details
- NPI Number
- 1316722069
- Provider Name
- My Dental Southbridge PLLC
- Provider Entity Type
- Organization
- Address
- 305 Main St, Southbridge, MA 01550-3726
- Phone Number
- 508-765-0880
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Srinivas Desaneedi, DMD · Owner · 740-215-8549
- Provider Enumeration Date
- August 30, 2023
- Last Update Date
- August 30, 2023
- Certification Date
- August 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 305 Main St
Southbridge, MA 01550-3726 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-3726
- Phone Number
- 508-765-0880
Provider Business Mailing Address Details
- Address
- 20 Balancing Rock RD
Canton, MA 02021-4230 - City
- Canton
- State
- MA
- Zip
- 02021-4230
- Phone Number
- 740-215-8549
- Fax Number
- 508-300-1275
License Information
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · 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 My Dental Southbridge PLLC?
The NPI number of My Dental Southbridge PLLC is 1316722069. It was assigned on August 30, 2023 and is currently active in the NPPES registry.
What is the specialty of My Dental Southbridge PLLC?
My Dental Southbridge PLLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).
Where does My Dental Southbridge PLLC practice?
The practice location is 305 Main St, Southbridge, MA 01550-3726. The office can be reached at 508-765-0880 (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 1316722069 directly on the NPPES registry website.