Active NPIOrganization

My Dental Watertown

Clinic/Center, Dental in Watertown, Massachusetts

NPI Number1669257317
Practice location
171 Watertown St, Watertown, MA 02472-2699
Fax
—
Last updated
August 30, 2023

My Dental Watertown is a healthcare organization based in Watertown, MA. My Dental Watertown practices in Watertown, MA. The NPI Number for My Dental Watertown is 1669257317. The current practice location address for My Dental Watertown is 171 Watertown St, Watertown, MA 02472-2699 and can be reached out via phone at 617-467-5113.

Provider Profile Details

NPI Number
1669257317
Provider Name
My Dental Watertown
Provider Entity Type
Organization
Address
171 Watertown St, Watertown, MA 02472-2699
Phone Number
617-467-5113
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
171 Watertown St
Watertown, MA 02472-2699
Zip
02472-2699
Phone Number
617-467-5113
Watertown, MA 02472Get directions →

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

License Information

Taxonomy
Clinic/Center, Dental · 261QD0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Watertown?

The NPI number of My Dental Watertown is 1669257317. It was assigned on August 30, 2023 and is currently active in the NPPES registry.

What is the specialty of My Dental Watertown?

My Dental Watertown is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).

Where does My Dental Watertown practice?

The practice location is 171 Watertown St, Watertown, MA 02472-2699. The office can be reached at 617-467-5113 (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 1669257317 directly on the NPPES registry website.

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