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

My Dental Revere PC

Organization Dentist · NPI 1053765412

My Dental Revere PC is a Dentist 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
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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