MY DENTAL COLUMBI A PC (NPI# 1215430152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215430152 |
| Entity Type | Organization |
| Organization Name | MY DENTAL COLUMBI A PC |
| Practice Address |
653 Columbia Rd Dorchester MA 02125-1712 |
| Mailing Address |
20 Balancing Rock Rd Canton MA 02021-4230 |
| Practice Telephone | 7402158549 |
| Mailing Telephone | 7402158549 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Authorized Official Name | DR. SRINIVAS DESANEEDI (DENTIST) |
| Authorized Official Telephone | 7402158549 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN22184 | MA | Dental Providers |
| Street Address |
653 COLUMBIA RD |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02125-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538235452 | Greg Gilby | Chiropractor | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2006-11-24 |
| 1124594049 | Shilpa Reddy Admala | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2018-10-18 |
| 1942795265 | Yuliya Mulyar | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2018-06-28 |
| 1710393129 | Neena Joshi | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2014-07-07 |
| 1639599897 | Sam Ahn | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2014-04-25 |
| 1215285143 | Elmehdi Boujida | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2012-08-27 |
| 1366719395 | Columbia Dental Management, Inc. | Dentist | 653 Columbia Rd, Dorchester, MA 02125 | 2011-11-18 |
| 1306077615 | Kyung Won Seo | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2009-08-04 |
| 1689811085 | Columbia Family Dental | Health Maintenance Organization | 653 Columbia Rd, Fl.1, Dorchester, MA 02125-1712 | 2009-01-07 |
| 1598951519 | Anhphi Thi Nguyen | Dentist | 653 Columbia Rd, Fl. 1, Dorchester, MA 02125-1712 | 2007-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136933 | Reynaldo Christy Riboul | Dentist | 12 Grant St Unit 2, Dorchester, MA 02125-1223 | 2020-05-26 |
| 1134652175 | Sage Family Dental | Dentist | 114 Washington Street, Dorchester, MA 02121 | 2017-04-06 |
| 1699133314 | Divya Upadhyay | Dentist | 614 Blue Hill Ave, Dorchester, MA 02121-3257 | 2016-02-09 |
| 1508176595 | Hoangvu M Vo | Dentist | 1370 Dorchester Ave # 32, Dorchester, MA 02122-2921 | 2010-10-08 |
| 1134378656 | Xuan Duong | Dentist | 1417 Dorchester Ave, Dorchester, MA 02122-2915 | 2008-09-09 |
| 1497968952 | Peach B Dore-tyrell | Dentist | 172 Ashmont St., Dorchester, MA 02124 | 2007-05-08 |
| 1144341603 | Nathan Quoc Duong | Dentist | 253 Adams St, Dorchester, MA 02122-1334 | 2007-04-03 |
| 1942334198 | John A Sifakis | Dentist | 771 Adams St, Dorchester, MA 02122-1919 | 2007-03-16 |
| 1588704399 | Michael Peter Folan | Dentist | 722 Adams St, Dorchester, MA 02122-1921 | 2007-02-08 |
| 1730243684 | Frank T Nghiem | Dentist | 1510 Dorchester Ave, 1510 Dorchester Ave, Dorchester, MA 02122-1327 | 2006-12-21 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02125 |
Please comment or provide details below to improve the information on MY DENTAL COLUMBI A PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.