Healthcare Provider Details

I. General information

NPI: 1972842805
Provider Name (Legal Business Name): SAISHREE AMIN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2013
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BARNARD ST
ANDOVER MA
01810-3601
US

IV. Provider business mailing address

19 BARNARD ST
ANDOVER MA
01810-3601
US

V. Phone/Fax

Practice location:
  • Phone: 978-475-5333
  • Fax: 978-470-0287
Mailing address:
  • Phone: 978-475-5333
  • Fax: 978-470-0287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN1857082
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: