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Active NPI 1295892297 Individual Practitioner Female Practitioner

Dr. Srismitha Modem , DMD

Dentist - General Practice • Revere, MA

Professional Overview & Biography Verified Profile Summary

Dr. Srismitha Modem, DMD is a registered healthcare professional specializing in Dentist - General Practice in Revere, MA. Practice services are available at 339 SQUIRE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

339 Squire Rd
Suite 150

Revere, MA 021514309

Telephone 7812867510
Associated Practice Facility / Clinic
🏢 Dr.dental Of Revere, P.c. Facility NPI 1518235365

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Revere, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
24 Specialists

Practicing in Revere, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA 21334

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1235817842
Neha Aggarwal

Dentist - General Practice

NPI 1629479506
Yosr Arafy

Dentist

NPI 1699413948

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 20, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2013

Registered at 339 SQUIRE RD, SUITE 150, REVERE, MA 021514309 (Tel: 7812867510)

📍
Updated Business Mailing Address August 20, 2013

Registered at 339 SQUIRE RD, SUITE 150 DR DENTAL OF REVERE, REVERE, MA 02151 (Tel: 7812867510)

👤
Provider Name / Credentials Updated August 20, 2013

Recorded as SRISMITHA MODEM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2013

Dentist (License #21334 in MA)

🟢
Initial NPI Registration & Enumeration January 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295892297
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: August 20, 2013
Sole Proprietor: No

Mailing Address

339 Squire Rd, Suite 150 Dr Dental Of Revere

Revere, MA 02151

Phone: 7812867510

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.