Southbridge Dental LLC
NPI 1184284549ActiveOrganization· Dentist, General Practice· Southbridge, MA
Dentist, General Practice in Southbridge, Massachusetts, registered in NPPES in June 2019. The authorized official on file is Suman Reddivari, DMD, Member.
Overview
| NPI | 1184284549 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 18, 2019 |
| Last updated in NPPES | Sep 20, 2021 |
| Certified by provider | Sep 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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