Organization Active NPI

Sandy Lor DMD LLC

  • General Practice Dentistry
  • Holden, MA
National Provider Identifier
1043988470
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SANDY LOR DMD LLC
Practice address
1010 Main St Ste 6
Holden, MA 01520-1237
Phone
(508) 829-3292
Fax
(508) 829-9323
NPI assigned
Aug 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sandy Lor, DMD
Title
Dentist/Owner
Phone
(978) 502-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1010 Main St Ste 6
Holden, MA 01520-1237

Mailing address

1088 W Boylston St Apt C
Worcester, MA 01606-2070
Phone (978) 502-8848

Other names 1

  • Holden Family Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

1010 Main St
Ste 6
Holden, MA 01520
Phone (508) 829-3292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1043988470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W BOYLSTON ST APT C",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062070",
            "telephone_number": "978-502-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST STE 6",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201237",
            "telephone_number": "508-829-3292",
            "fax_number": "508-829-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY LOR DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "LOR",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "978-502-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holden Family Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.