Organization Active NPI

Han Solo DMD, PC.

  • General Practice Dentistry
  • Southbridge, MA
National Provider Identifier
1922360908
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21025 Issued in MA
Legal business name
HAN SOLO DMD, PC.
Practice address
44 Everett Street
Southbridge, MA 01550-2686
Phone
(508) 764-4600
Fax
(508) 765-5862
NPI assigned
Jun 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Han Soo Lho, D.M.D
Title
Owner
Phone
(617) 359-4971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN21025 MA Primary

Addresses

Primary practice location

44 Everett Street
Southbridge, MA 01550-2686

Mailing address

44 Everett Street
Southbridge, MA 01550-2686
Phone (508) 764-4600

National Provider Directory

National Provider Directory

Locations

44 Everett St
Southbridge, MA 01550
Phone (508) 764-4600

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1922360908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 EVERETT STREET",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502686",
            "telephone_number": "508-764-4600",
            "fax_number": "508-765-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 EVERETT STREET",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502686",
            "telephone_number": "508-764-4600",
            "fax_number": "508-765-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN SOLO DMD, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "LHO",
        "authorized_official_first_name": "HAN SOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-359-4971",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.