MY DENTAL WARREN ST
NPI 1578066312
Dentist in Roxbury, MA

Active since March 16, 2018
376 WARREN ST, ROXBURY, MA 02119(740) 215-8549 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About My Dental Warren St NPPES

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

MY DENTAL WARREN ST (NPI 1578066312) is a healthcare organization registered as a dentist in Roxbury, Massachusetts and active in the NPI registry since March 2018. The organization lists Srinivas Desaneedi, Dentist, as its authorized official.

NPPES Registry Identity

NPI1578066312
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMY DENTAL WARREN ST
Location Address376 WARREN STRoxbury, MA 02119-1830
Mailing Address20 Balancing Rock RdCanton, MA 02021-4230 · (740) 215-8549
Organization SubpartNo
Authorized OfficialSrinivas DesaneediDentist · (740) 215-8549
Enumeration DateMarch 16, 2018
NPI 1578066312 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.
376 WARREN ST, Roxbury, MA 02119

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 (General Practice)
376 WARREN ST
ROXBURY, MA 02119
Health Maintenance Organization
376 WARREN ST
ROXBURY, MA 02119
Dentist (General Practice)
376 WARREN ST
BOSTON, MA 02119
Clinic/Center (Physical Therapy)
376 WARREN ST
ROXBURY, MA 02119

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 Warren St's NPI number?

The NPI number for My Dental Warren St is 1578066312. It was assigned to this organization in the NPPES registry on March 16, 2018.

Where is My Dental Warren St located?

My Dental Warren St is located at 376 Warren St, Roxbury, MA 02119. The listed phone number is (740) 215-8549.

What is My Dental Warren St's specialty?

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

When was this NPI record last updated?

The NPPES record for My Dental Warren St was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.