Healthcare Provider Details
I. General information
NPI: 1467316984
Provider Name (Legal Business Name): DRIFT DENTAL DESIGN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/10/2025
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 WASHINGTON ST STE 103
BRAINTREE MA
02184-4764
US
IV. Provider business mailing address
330B SAVIN HILL AVE
DORCHESTER MA
02125-1056
US
V. Phone/Fax
- Phone: 781-843-0881
- Fax:
- Phone: 813-486-6961
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SAAHIL
MAHENDRA
DADHANIA
Title or Position: OWNER
Credential: DMD
Phone: 813-486-6961