SVK Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

DN22184 Issued in MA

Legal business name

SVK DENTAL PC

Practice address

1225 Liberty St
Unit 3
Springfield, MA 01104-1165

Phone

(413) 788-0000

NPI assigned

Nov 11, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Srinivas Desaneedi, DMD

Title

President

Phone

(740) 215-8549

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1477926566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ROCK WOOD DR",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 LIBERTY ST",
            "address_2": "UNIT 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011041165",
            "telephone_number": "413-788-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "DESANEEDI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-215-8549",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN22184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella S Sussman, APRN
• Ellen K Sussman, LDN
• Jeffrey Sussman, MD
• Debbora Sutherland, GNP, BC
• Teresa Anne Svart, APRN
• Erin Svrcek, PA-C
• Annastacia Swaby
• Carlos Emanuel Swaby II
• Breana Nicole Swain, LCSW
• Eryca D Swan, MHC INTERN

• Dentist in Springfield, MA
• Providers in Springfield, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.