OrganizationActive
My Dental Revere PC
NPI 1053765412 · Dentist · Saugus, MA
My Dental Revere PC is a Dentist organization in Saugus, MA (NPI 1053765412).
Provider details
- NPI number
- 1053765412
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Srinivas Desaneedi, Owner(740) 215-8549
- License
- DN22184 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1401 Rock Wood Dr
Saugus, MA 01906-4537
Phone: (740) 215-8549
Street-level locationGet directions
Mailing address
1401 Rock Wood Dr
Saugus, MA 01906-4537
Registry dates
- Enumerated
- 2016-04-21
- Last updated
- 2016-04-21
Frequently asked questions
- What is My Dental Revere PC's NPI number?
- My Dental Revere PC's National Provider Identifier (NPI) is 1053765412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Dental Revere PC?
- My Dental Revere PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is My Dental Revere PC located?
- My Dental Revere PC's practice location on file with NPPES is 1401 Rock Wood Dr, Saugus, MA 01906-4537.
- What is My Dental Revere PC's phone number?
- The practice phone number listed in the NPPES registry for My Dental Revere PC is (740) 215-8549.
- Who is the authorized official for My Dental Revere PC?
- The authorized official listed on My Dental Revere PC's NPPES record is Srinivas Desaneedi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Dental Revere PC's NPI active?
- Yes — My Dental Revere PC's NPI (1053765412) is active in the NPPES registry as of the last update on 2016-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.