Healthcare Provider Details

I. General information

NPI: 1578376422
Provider Name (Legal Business Name): CAREENA UPPALURI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E MAIN ST
NORTHBOROUGH MA
01532-1662
US

IV. Provider business mailing address

51 GATES ST
FRAMINGHAM MA
01702-5558
US

V. Phone/Fax

Practice location:
  • Phone: 508-571-0358
  • Fax:
Mailing address:
  • Phone: 508-308-5897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN10001460
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: