MY DENTAL LLC
NPI 1366722100
Clinic/Center - Dental in Waltham, MA

Active since August 24, 2011
314 MOODY ST, SUITE B, WALTHAM, MA 02453(740) 215-8549 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About My Dental Llc NPPES

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

MY DENTAL LLC (NPI 1366722100) is a healthcare organization registered as a dental in Waltham, Massachusetts and active in the NPI registry since August 2011. The organization lists Srinivas Desaneedi, Dentist, as its authorized official.

NPPES Registry Identity

NPI1366722100
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMY DENTAL LLC
Location Address314 MOODY ST, SUITE BWaltham, MA 02453-5202
Mailing Address184 Kennedy Dr, Apt 10Malden, MA 02148-3402 · (740) 215-8549
Organization SubpartNo
Authorized OfficialSrinivas DesaneediDentist · (740) 215-8549
Enumeration DateAugust 24, 2011
NPI 1366722100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MA · 22184
314 MOODY ST, Waltham, MA 02453

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist
314 MOODY ST
WALTHAM, MA 02453
Dentist (General Practice)
314 MOODY ST
WALTHAM, MA 02453
Dentist
314 MOODY ST
WALTHAM, MA 02453
Dentist (General Practice)
314 MOODY ST
WALTHAM, MA 02453

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 LLC's NPI number?

The NPI number for My Dental LLC is 1366722100. It was assigned to this organization in the NPPES registry on August 24, 2011.

Where is My Dental LLC located?

My Dental LLC is located at 314 Moody St Suite B, Waltham, MA 02453. The listed phone number is (740) 215-8549.

What is My Dental LLC's specialty?

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

What insurance does My Dental LLC accept?

Health plans from UnitedHealthcare list My Dental LLC 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 LLC was last updated on August 24, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.