OrganizationActive
Southbridge Dental LLC
NPI 1184284549 · General Practice Dentistry · Southbridge, MA
Southbridge Dental LLC is a General Practice Dentistry organization in Southbridge, MA (NPI 1184284549).
Provider details
- NPI number
- 1184284549
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Suman Reddivari, Member(781) 552-1567
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
305 Main St
Southbridge, MA 01550-3726
Phone: (508) 765-0880
Street-level locationGet directions
Mailing address
305 Main St
Southbridge, MA 01550-3726
Registry dates
- Enumerated
- 2019-06-18
- Last updated
- 2021-09-20
- Certified
- 2021-09-20
Frequently asked questions
- What is Southbridge Dental LLC's NPI number?
- Southbridge Dental LLC's National Provider Identifier (NPI) is 1184284549, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southbridge Dental LLC?
- Southbridge Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Southbridge Dental LLC located?
- Southbridge Dental LLC's practice location on file with NPPES is 305 Main St, Southbridge, MA 01550-3726.
- What is Southbridge Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Southbridge Dental LLC is (508) 765-0880.
- Who is the authorized official for Southbridge Dental LLC?
- The authorized official listed on Southbridge Dental LLC's NPPES record is Suman Reddivari, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southbridge Dental LLC's NPI active?
- Yes — Southbridge Dental LLC's NPI (1184284549) is active in the NPPES registry as of the last update on 2021-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.