My Dental Warren St
NPI 1578066312ActiveOrganization· Dentist· Roxbury, MA
Dentist in Roxbury, Massachusetts, registered in NPPES in March 2018. The authorized official on file is Srinivas Desaneedi, DMD, Dentist.
Overview
| NPI | 1578066312 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2018 |
| Last updated in NPPES | Mar 16, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DN22184 | MA |
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 |
|---|
Other Dentist providers in Roxbury
- 1225207517
- 1417117987
- 1881308575
- 1770260721
- 1730818832
- 1265282826
- 1992458723
- 1699410936
- 1083108922
- 1326800954
- 1699595207
- 1093678773