Active NPI
Sturbridge Dental PLLC
- Dental Clinic/Center
- Sturbridge, MA
National Provider Identifier
1285577460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- STURBRIDGE DENTAL PLLC
- Practice address
- 57 Main St Ste 2
Sturbridge, MA 01566-1283 - Phone
- (740) 215-8549
- NPI assigned
- Apr 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Srinivas Desaneedi, DMD
- Title
- Owner
- Phone
- (740) 215-8549
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
57 Main St Ste 2
Sturbridge, MA 01566-1283
Mailing address
20 Balancing Rock Rd
Enter Address Line 2
Canton, MA 02021-4230
Phone (740) 215-8549
National Provider Directory
National Provider DirectoryLocations
57 Main St
Ste 2
Sturbridge, MA 01566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1285577460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BALANCING ROCK RD",
"address_2": "ENTER ADDRESS LINE 2",
"city": "CANTON",
"state": "MA",
"postal_code": "020214230",
"telephone_number": "740-215-8549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 MAIN ST STE 2",
"city": "STURBRIDGE",
"state": "MA",
"postal_code": "015661283",
"telephone_number": "740-215-8549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STURBRIDGE DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-12",
"status": "A",
"authorized_official_last_name": "DESANEEDI",
"authorized_official_first_name": "SRINIVAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-215-8549",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sturbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.