Individual provider · Type 1 NPI

Srismitha Modem, DMD

General Practice Dentistry · Revere, MA

NPI number 1295892297 Active

Practice location

339 Squire Rd, Suite 150
Revere, MA 02151-4309

Call (781) 286-7510 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X21334 (MA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

13 other providers at this address

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About NPI 1295892297

Srismitha Modem, DMD's National Provider Identifier is 1295892297, issued on Jan 2, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Revere, MA. The record was last updated on Aug 20, 2013.