Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

My Dental LLC

Organization Dental Clinic/Center · NPI 1366722100

My Dental LLC is a Dental Clinic/Center in Waltham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

314 Moody St Ste B
Waltham, MA 02453-5202
Phone: (740) 215-8549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 22184 (MA)

Record details

NPI number1366722100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinivas Desaneedi — Dentist · (740) 215-8549
NPI enumeratedAugust 24, 2011
Last updated in NPPESAugust 24, 2011
Mailing address184 Kennedy Dr, Apt 10, Malden, MA 02148-3402

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