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DR. SRISMITHA MODEM DMD
NPI 1295892297
Dentist - General Practice in Revere, MA

Active since January 02, 2007
339 SQUIRE RD, SUITE 150, REVERE, MA 02151(781) 286-7510 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Srismitha Modem Dmd NPPES

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

DR. SRISMITHA MODEM DMD (NPI 1295892297) is an individual general practice provider in Revere, Massachusetts, licensed in Massachusetts (21334) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1295892297
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SRISMITHA MODEMCredential: DMD
Location Address339 SQUIRE RD, SUITE 150Revere, MA 02151-4309
Mailing Address339 Squire Rd, Suite 150 Dr Dental Of RevereRevere, MA 02151 · (781) 286-7510
Phone(781) 286-7510
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 20, 2013
✔ NPI 1295892297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 21334
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.
339 SQUIRE RD, Revere, MA 02151
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JOCELYNE K KAMDEM RPH,PHARM D
Pharmacist
339 SQUIRE RD
REVERE, MA 02151
Suffolk County (781) 289-6099
DR. PHILIP LLOYD CROOKS O.D.
Optometrist
339 SQUIRE RD, PEARLE VISION
REVERE, MA 02151
Suffolk County (781) 289-5900
NVR & SDD CONVENIENT CARE LLC
Clinic/Center (Emergency Care)
339 SQUIRE RD
REVERE, MA 02151
Suffolk County (781) 354-1485
MS. ADRIENNE JAVERY LMT
Massage Therapist
339 SQUIRE RD
REVERE, MA 02151
Suffolk County (617) 930-4415
MICHAEL EDWARD PIERONI
Pharmacist
339 SQUIRE RD
REVERE, MA 02151
Suffolk County (781) 289-6099
EDDIE HORNEDO JR. LDO
Technician/Technologist (Optician)
339 SQUIRE RD
REVERE, MA 02151
Suffolk County (781) 289-5900
DR.DENTAL OF REVERE, P.C.
Dentist
339 SQUIRE RD, SUITE 150
REVERE, MA 02151
Suffolk County (781) 286-7510
NVR & SDD CONVENIENT CARE PC
Clinic/Center (Urgent Care)
339 SQUIRE RD
REVERE, MA 02151
Suffolk County (781) 354-1485

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 Srismitha Modem's NPI number?

The NPI number for Srismitha Modem is 1295892297. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Srismitha Modem located?

Srismitha Modem practices at 339 Squire Rd Suite 150, Revere, MA 02151. The listed phone number is (781) 286-7510.

What is Srismitha Modem's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Srismitha Modem accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 8 other insurers list Srismitha Modem 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 Srismitha Modem was last updated on August 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.