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MY DENTAL REVERE PC
NPI 1053765412
Dentist in Saugus, MA

Active since April 21, 2016
1401 ROCK WOOD DR, SAUGUS, MA 01906(740) 215-8549 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About My Dental Revere Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY DENTAL REVERE PC (NPI 1053765412) is a healthcare organization registered as a dentist in Saugus, Massachusetts and active in the NPI registry since April 2016. The organization lists Srinivas Desaneedi, Owner, as its authorized official.

NPPES Registry Identity

NPI1053765412
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMY DENTAL REVERE PC
Location Address1401 ROCK WOOD DRSaugus, MA 01906-4537
Mailing Address1401 Rock Wood DrSaugus, MA 01906-4537
Phone(740) 215-8549
Organization SubpartNo
Authorized OfficialSrinivas DesaneediOwner · (740) 215-8549
Enumeration DateApril 21, 2016
✔ NPI 1053765412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DN22184
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1401 ROCK WOOD DR, Saugus, MA 01906
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Dental Revere PC's NPI number?

The NPI number for My Dental Revere PC is 1053765412. It was assigned to this organization in the NPPES registry on April 21, 2016.

Where is My Dental Revere PC located?

My Dental Revere PC is located at 1401 Rock Wood Dr, Saugus, MA 01906. The listed phone number is (740) 215-8549.

What is My Dental Revere PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does My Dental Revere PC accept?

Health plans from UnitedHealthcare list My Dental Revere PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for My Dental Revere PC was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.