| My Dental Southbridge Pllc | |
| 
					305 Main St Southbridge MA 01550-3726  | |
| (508) 765-0880 | |
| Not Available | 
| Full Name | My Dental Southbridge Pllc | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 305 Main St, Southbridge, Massachusetts | 
| Authorized Official Name and Position | Srinivas Desaneedi (OWNER) | 
| Authorized Official Contact | 7402158549 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| My Dental Southbridge Pllc 20 Balancing Rock Rd Canton MA 02021-4230 Ph: (740) 215-8549  | My Dental Southbridge Pllc 305 Main St Southbridge MA 01550-3726 Ph: (508) 765-0880  | 
| NPI Number | 1316722069 | 
|---|---|
| Provider Enumeration Date | 08/30/2023 | 
| Last Update Date | 08/30/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316722069 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
First Commonwealth Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Central St, Southbridge, MA 01550 Phone: 508-909-6122  | |
Southbridge Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Main St, Southbridge, MA 01550 Phone: 508-765-0880  | |
Allen Rubin Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Main St, Southbridge, MA 01550 Phone: 508-765-0040  | |
Anthony G. Dimatteo Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 914 Main Street, Southbridge, MA 01550 Phone: 508-765-5985  | |
James Park D.m.d Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Everett St, Southbridge, MA 01550 Phone: 508-764-4600 Fax: 508-765-5862  | |
James Park D.m.d Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Everett St, Southbridge, MA 01550 Phone: 508-764-4600 Fax: 508-765-5862  |