MY DENTAL SOUTHBRIDGE PLLC
NPI 1316722069
Clinic/Center - Dental in Southbridge, MA

Active since August 30, 2023
305 MAIN ST, SOUTHBRIDGE, MA 01550(508) 765-0880 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About My Dental Southbridge Pllc NPPES

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

MY DENTAL SOUTHBRIDGE PLLC (NPI 1316722069) is a healthcare organization registered as a dental in Southbridge, Massachusetts and active in the NPI registry since August 2023. The organization lists Srinivas Desaneedi, Owner, as its authorized official.

NPPES Registry Identity

NPI1316722069
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMY DENTAL SOUTHBRIDGE PLLC
Location Address305 MAIN STSouthbridge, MA 01550-3726
Mailing Address20 Balancing Rock RdCanton, MA 02021-4230 · (740) 215-8549 · Fax (508) 300-1275
Organization SubpartNo
Authorized OfficialSrinivas DesaneediOwner · (740) 215-8549
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
NPI 1316722069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
305 MAIN ST, Southbridge, MA 01550

Other Providers at the Same Location NPPES 5

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

Dentist
305 MAIN ST
SOUTHBRIDGE, MA 01550
Dentist (General Practice)
305 MAIN ST
SOUTHBRIDGE, MA 01550
Dentist
305 MAIN ST
SOUTHBRIDGE, MA 01550
Dentist (General Practice)
305 MAIN ST
SOUTHBRIDGE, MA 01550
Dentist (General Practice)
305 MAIN ST
SOUTHBRIDGE, MA 01550

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 Southbridge PLLC's NPI number?

The NPI number for My Dental Southbridge PLLC is 1316722069. It was assigned to this organization in the NPPES registry on August 30, 2023.

Where is My Dental Southbridge PLLC located?

My Dental Southbridge PLLC is located at 305 Main St, Southbridge, MA 01550. The listed phone number is (508) 765-0880.

What is My Dental Southbridge PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for My Dental Southbridge PLLC was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.