Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

My Dental Revere PC

Organization Dentist · NPI 1053765412

My Dental Revere PC provides Dentist services in Saugus, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2016.

Licensed in
MA
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 Rock Wood Dr
Saugus, MA 01906-4537 Not confirmed with CMS for 10 years — call before visiting
Phone: (740) 215-8549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN22184 (MA)

Record details

NPI number1053765412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinivas Desaneedi — Owner · (740) 215-8549
NPI enumeratedApril 21, 2016
Last updated in NPPESApril 21, 2016
Mailing address1401 Rock Wood Dr, Saugus, MA 01906-4537

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