NPIMap

Organization Active NPI

Sandra L Macdonald DMD PC

  • Dentist
  • Plymouth, MA
National Provider Identifier
1851413728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17726 Issued in MA
Legal business name
SANDRA L MACDONALD DMD PC
Practice address
110 Long Pond Road
Suite 204
Plymouth, MA 02360-2642
Phone
(508) 830-3339
Fax
(508) 830-1976
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sandra Lynn Macdonald, DMD
Title
Owner
Phone
(508) 830-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 17726 MA Primary

Addresses

Primary practice location

110 Long Pond Road
Suite 204
Plymouth, MA 02360-2642

Mailing address

110 Long Pond Road
Suite 204
Plymouth, MA 02360-2642
Phone (508) 830-3339

National Provider Directory

National Provider Directory

Locations

110 Long Pond Rd
Ste 204
Plymouth, MA 02360
Phone (508) 746-6663

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851413728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LONG POND ROAD",
            "address_2": "SUITE 204",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602642",
            "telephone_number": "508-830-3339",
            "fax_number": "508-830-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LONG POND ROAD",
            "address_2": "SUITE 204",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602642",
            "telephone_number": "508-830-3339",
            "fax_number": "508-830-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L MACDONALD DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-830-3339",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "17726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.