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

Individual provider General Practice Dentistry · NPI 1295892297

Dr. Srismitha Modem, DMD practises General Practice Dentistry in Revere, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

339 Squire Rd Ste 150
Revere, MA 02151-4309 Not confirmed with CMS for 13 years — call before visiting
Phone: (781) 286-7510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 21334 (MA)

Record details

NPI number1295892297
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESAugust 20, 2013

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