Sandeep Sood D.D.S. P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

2901017508 Issued in MI

Legal business name

SANDEEP SOOD D.D.S. P.C.

Doing business as

Holt Family Dentistry

Practice address

2205 Cedar St
Holt, MI 48842-1203

Phone

(517) 694-2501

Fax

(517) 694-2637

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandeep Sood, D.D.S.NPI 1043535982

Title

President

Phone

(517) 694-2501

Specialties & licenses 1

Addresses

Other names 1

• Holt Family Dentistry Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Sandeep Sood, D.D.S

  • Dentist
  • Holt, MI
  • NPI 1043535982
  NPD Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790903672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 CEDAR ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421203",
            "telephone_number": "517-694-2501",
            "fax_number": "517-694-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 CEDAR ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421203",
            "telephone_number": "517-694-2501",
            "fax_number": "517-694-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDEEP SOOD D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOOD",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-694-2501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holt Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Holt, MI
• Providers in Holt, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.