Dr. Samuel Lu P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. SAMUEL LU P.C.

Doing business as

Main Street Family Dental

Practice address

715 Main Street
Agawam, MA 01001-2540

Phone

(413) 530-2677

NPI assigned

Oct 12, 2023

Last updated

Oct 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Lu, DMDNPI 1235162124

Title

Director

Phone

(413) 530-2677

Specialties & licenses 1

Addresses

Other names 1

• Main Street Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Lu, DMD

  • General Practice Dentistry
  • Holyoke, MA
  • NPI 1235162124
  NPD Authorized official

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1528849791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MAIN STREET",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012540",
            "telephone_number": "413-530-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MAIN STREET",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012540",
            "telephone_number": "413-530-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SAMUEL LU P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "413-530-2677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Dipietro, LICSW
• Claudia A Dixon, PT
• Doral Enterprises
• Donna Ellen Dorans, OTR
• Sharon Marie Dowd, OTR
• Timothy Draleau
• Brandi-Lyn Alexandrea Drinkwine
• Christopher George Dugre, MPT
• Amber Dutton, RN
• Lynne Ann Dutton, PTA

• General Practice Dentistry in Agawam, MA
• Providers in Agawam, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.