Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MY DENTAL LLC
Active
Organization
MY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS DESANEEDI DMD (DENTIST)
(740) 215-8549
Entity
Organization
Contact information
Practice address
314 MOODY ST, SUITE B, WALTHAM, MA 02453-5202
(740) 215-8549
Mailing address
184 KENNEDY DR, APT 10, MALDEN, MA 02148-3402
(740) 215-8549
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22184
MA
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up