Healthcare Provider Details

I. General information

NPI: 1891685269
Provider Name (Legal Business Name): MEGNA SENTHILNATHAN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 W CENTRAL ST
FRANKLIN MA
02038-3118
US

IV. Provider business mailing address

40 SAINT BOTOLPH ST APT 41
BOSTON MA
02116-6437
US

V. Phone/Fax

Practice location:
  • Phone: 508-520-2333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDL100882
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: