OrganizationActive
My Dental Warren St
NPI 1578066312 · Dentist · Roxbury, MA
My Dental Warren St is a Dentist organization in Roxbury, MA (NPI 1578066312).
Provider details
- NPI number
- 1578066312
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Srinivas Desaneedi, Dentist(740) 215-8549
- License
- DN22184 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
376 Warren St
Roxbury, MA 02119-1830
Phone: (740) 215-8549
Street-level locationGet directions
Mailing address
20 Balancing Rock Rd
Canton, MA 02021-4230
Registry dates
- Enumerated
- 2018-03-16
- Last updated
- 2018-03-16
Frequently asked questions
- What is My Dental Warren St's NPI number?
- My Dental Warren St's National Provider Identifier (NPI) is 1578066312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Dental Warren St?
- My Dental Warren St is classified in the NPPES registry as Dentist (Dental Providers).
- Where is My Dental Warren St located?
- My Dental Warren St's practice location on file with NPPES is 376 Warren St, Roxbury, MA 02119-1830.
- What is My Dental Warren St's phone number?
- The practice phone number listed in the NPPES registry for My Dental Warren St is (740) 215-8549.
- Who is the authorized official for My Dental Warren St?
- The authorized official listed on My Dental Warren St's NPPES record is Srinivas Desaneedi, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Dental Warren St's NPI active?
- Yes — My Dental Warren St's NPI (1578066312) is active in the NPPES registry as of the last update on 2018-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.