Organization Active NPI

Sturbridge Dental PLLC

  • Dental Clinic/Center
  • Sturbridge, MA
National Provider Identifier
1285577460
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Apr 13, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.