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: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 FRANKLIN ST
QUINCY MA
02169-4951
US

IV. Provider business mailing address

330B SAVIN HILL AVE
DORCHESTER MA
02125-1056
US

V. Phone/Fax

Practice location:
  • Phone: 617-773-4446
  • Fax:
Mailing address:
  • Phone: 813-486-6961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MR. SAAHIL MAHENDRA DADHANIA
Title or Position: OWNER
Credential: DMD
Phone: 813-486-6961